SHM Converge Scientific Abstract ePoster Gallery-Pilot Study of Peripheral Internal Jugular Catheters to Avoid Cvad

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This pilot study evaluated “peripheral internal jugular” (PIJ) venous catheters as an alternative to central venous access devices (CVADs) for hospitalized patients with poor IV access. PIJs are short catheters placed into the internal jugular vein under ultrasound guidance, intended for patients who need short-term access but do not require medications that must be delivered centrally.<br /><br />A hospital medicine procedure service was trained in PIJ placement and used them at clinician discretion for appropriate patients. Between March 2021 and November 2022, 28 placement attempts were made and 27 were successful (96.4%) in 25 patients. Most patients were medical inpatients, and no procedural complications occurred.<br /><br />The PIJs remained in place for a median of 2 days. Overall catheter failure occurred in 11 of 27 cases (40.7%), usually due to occlusion or migration. Midline catheters performed better than angiocath introducers and peripheral IV catheters, with significantly fewer failures (23.5% vs. 70.0%, p=0.04). Importantly, 21 patients (78%) avoided needing a subsequent non-tunneled CVAD during the same encounter.<br /><br />The authors conclude that PIJ placement is feasible, safe, and may help hospitals reduce use of CVADs in selected patients, thereby avoiding the procedural risks and catheter-associated bloodstream infection risks linked to central lines.

Asset Subtitle

Erin Finn

Meta Tag

Author List Erin Finn, John R. Stephens, Jonathon Heath, Ria Dancel

Category Research

Concept Peripheral Internal Jugular Venous Catheter

Concept Central Venous Catheterization

Concept Intravenous Access

Concept Short-Term Venous Access

Concept Ultrasound Guidance

Distinguished Non-Finalist

Presenter Organization University of North Carolina

Presenting Author Erin Finn

Track Patient Safety

Keywords

peripheral internal jugular

PIJ catheter

central venous access devices

CVAD alternative

ultrasound-guided placement

poor IV access

hospitalized patients

catheter failure

midline catheter

bloodstream infection risk

Peripheral Internal Jugular Venous Catheter

Central Venous Catheterization

Intravenous Access

Short-Term Venous Access

Ultrasound Guidance