Peripherally inserted central catheters for calcium requirements after successful parathyroidectomy: a comparison with centrally inserted catheters
BACKGROUND Intravenous calcium supplements are often required following parathyroidectomy to avoid postoperative hypocalcaemia. The aim of this study was to compare application effect of a femoral central venous catheter (CVC) and peripherally inserted central catheter (PICC) on intravenous calcium...
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| Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2017-05, Vol.99 (5), p.358-362 |
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| description | BACKGROUND Intravenous calcium supplements are often required following parathyroidectomy to avoid postoperative hypocalcaemia. The aim of this study was to compare application effect of a femoral central venous catheter (CVC) and peripherally inserted central catheter (PICC) on intravenous calcium supplements after parathyroidectomy. METHODS We retrospectively reviewed the hospital records of 73 patients with secondary hyperparathyroidism who underwent a successful parathyroidectomy at the Huashan Hospital attached to Fudan University between 1 April 2011 and 1 February 2016. RESULTS Of the 73 study participants, 39 (53.4%) had a PICC and 34 (46.6%) had a CVC, respectively. Patients in the CVC group needed 6-7 days of intravenous calcium supplements, while patients in PICC group needed only 2-3 days to achieve normal serum calcium concentration (2.2-2.6 mmol/L). Furthermore, the duration of calcium supplementation was 71.62 ± 4.48 hours in PICC group and 100.4 ± 5.43 hours in CVC group (P |
| doi_str_mv | 10.1308/rcsann.2017.0004 |
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The aim of this study was to compare application effect of a femoral central venous catheter (CVC) and peripherally inserted central catheter (PICC) on intravenous calcium supplements after parathyroidectomy. METHODS We retrospectively reviewed the hospital records of 73 patients with secondary hyperparathyroidism who underwent a successful parathyroidectomy at the Huashan Hospital attached to Fudan University between 1 April 2011 and 1 February 2016. RESULTS Of the 73 study participants, 39 (53.4%) had a PICC and 34 (46.6%) had a CVC, respectively. Patients in the CVC group needed 6-7 days of intravenous calcium supplements, while patients in PICC group needed only 2-3 days to achieve normal serum calcium concentration (2.2-2.6 mmol/L). Furthermore, the duration of calcium supplementation was 71.62 ± 4.48 hours in PICC group and 100.4 ± 5.43 hours in CVC group (P < 0.05). Of the patients in PICC group, the incidence of catheter occlusion, operation failure and hypocalcaemia was 0%, which was significantly lower than those in CVC group (2.56%, 7.69% and 7.69%, respectively). CONCLUSIONS PICC is a safe and efficient alternative in contrast to CVC for providing venous access for calcium supplementation in surgical patients after parathyroidectomy.</description><identifier>ISSN: 0035-8843</identifier><identifier>EISSN: 1478-7083</identifier><identifier>DOI: 10.1308/rcsann.2017.0004</identifier><identifier>PMID: 28462656</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Administration, Intravenous ; Antibiotics ; Calcium - administration & dosage ; Calcium - blood ; Calcium - therapeutic use ; Cancer therapies ; Catheterization, Central Venous - statistics & numerical data ; Catheterization, Peripheral - statistics & numerical data ; Catheters ; Elbow ; Female ; General Surgery ; Hemodialysis ; Hospitals ; Humans ; Hyperparathyroidism, Secondary - surgery ; Laboratories ; Male ; Middle Aged ; Nurses ; Parathyroidectomy ; Patients ; Retrospective Studies ; Studies ; Transplants & implants ; Veins & arteries ; Vitamin D</subject><ispartof>Annals of the Royal College of Surgeons of England, 2017-05, Vol.99 (5), p.358-362</ispartof><rights>Copyright Royal College of Surgeons of England May 2017</rights><rights>Copyright © 2017, All rights reserved by the Royal College of Surgeons of England 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c377t-366f81756d8ce0e41afe2a3dbbc2419702e25b0c72a438c6b0d0540dc488311e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449693/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449693/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28462656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qi, H J</creatorcontrib><creatorcontrib>Yang, W W</creatorcontrib><creatorcontrib>Zhang, L D</creatorcontrib><creatorcontrib>Shi, X J</creatorcontrib><creatorcontrib>Li, Q Y</creatorcontrib><creatorcontrib>Ye, T</creatorcontrib><title>Peripherally inserted central catheters for calcium requirements after successful parathyroidectomy: a comparison with centrally inserted catheters</title><title>Annals of the Royal College of Surgeons of England</title><addtitle>Ann R Coll Surg Engl</addtitle><description>BACKGROUND Intravenous calcium supplements are often required following parathyroidectomy to avoid postoperative hypocalcaemia. The aim of this study was to compare application effect of a femoral central venous catheter (CVC) and peripherally inserted central catheter (PICC) on intravenous calcium supplements after parathyroidectomy. METHODS We retrospectively reviewed the hospital records of 73 patients with secondary hyperparathyroidism who underwent a successful parathyroidectomy at the Huashan Hospital attached to Fudan University between 1 April 2011 and 1 February 2016. RESULTS Of the 73 study participants, 39 (53.4%) had a PICC and 34 (46.6%) had a CVC, respectively. Patients in the CVC group needed 6-7 days of intravenous calcium supplements, while patients in PICC group needed only 2-3 days to achieve normal serum calcium concentration (2.2-2.6 mmol/L). Furthermore, the duration of calcium supplementation was 71.62 ± 4.48 hours in PICC group and 100.4 ± 5.43 hours in CVC group (P < 0.05). Of the patients in PICC group, the incidence of catheter occlusion, operation failure and hypocalcaemia was 0%, which was significantly lower than those in CVC group (2.56%, 7.69% and 7.69%, respectively). CONCLUSIONS PICC is a safe and efficient alternative in contrast to CVC for providing venous access for calcium supplementation in surgical patients after parathyroidectomy.</description><subject>Administration, Intravenous</subject><subject>Antibiotics</subject><subject>Calcium - administration & dosage</subject><subject>Calcium - blood</subject><subject>Calcium - therapeutic use</subject><subject>Cancer therapies</subject><subject>Catheterization, Central Venous - statistics & numerical data</subject><subject>Catheterization, Peripheral - statistics & numerical data</subject><subject>Catheters</subject><subject>Elbow</subject><subject>Female</subject><subject>General Surgery</subject><subject>Hemodialysis</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hyperparathyroidism, Secondary - surgery</subject><subject>Laboratories</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Parathyroidectomy</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Studies</subject><subject>Transplants & implants</subject><subject>Veins & arteries</subject><subject>Vitamin D</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdUctu1DAUtRCIDoU9K2SJDZsM1484NgukquIlVYIFrC3HuWFcJfHUTlrNd_DD9WhmKtqV5XvP4x4dQt4yWDMB-mPy2U3TmgNr1gAgn5EVk42uGtDiOVkBiLrSWooz8irnawBmGs1ekjOupeKqVivy7xemsN1gcsOwo2HKmGbsqMdpLiPq3bzBGVOmfUzlN_iwjDThzRISjgWUqevLnubFe8y5Xwa6damwdimGDv0cx90n6qiPY5mHHCd6F-bNyeCR58nrNXnRuyHjm-N7Tv58_fL78nt19fPbj8uLq8qLppkroVSvWVOrTnsElMz1yJ3o2tZzWZICR1634BvupNBetdBBLaHzUmvBGIpz8vmgu13aEbvjSXabwujSzkYX7OPNFDb2b7y1tZRGGVEEPhwFUrxZMM92DNnjMLgJ45It00bWHKQxBfr-CfQ6Lmkq8SwzBrSphVYFBQeUTzHnhP3DMQzsvnF7aNzuG7f7xgvl3f8hHginisU9meSuIw</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Qi, H J</creator><creator>Yang, W W</creator><creator>Zhang, L D</creator><creator>Shi, X J</creator><creator>Li, Q Y</creator><creator>Ye, T</creator><general>BMJ Publishing Group LTD</general><general>Royal College of Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201705</creationdate><title>Peripherally inserted central catheters for calcium requirements after successful parathyroidectomy: a comparison with centrally inserted catheters</title><author>Qi, H J ; Yang, W W ; Zhang, L D ; Shi, X J ; Li, Q Y ; Ye, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-366f81756d8ce0e41afe2a3dbbc2419702e25b0c72a438c6b0d0540dc488311e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Administration, Intravenous</topic><topic>Antibiotics</topic><topic>Calcium - administration & dosage</topic><topic>Calcium - blood</topic><topic>Calcium - therapeutic use</topic><topic>Cancer therapies</topic><topic>Catheterization, Central Venous - statistics & numerical data</topic><topic>Catheterization, Peripheral - statistics & numerical data</topic><topic>Catheters</topic><topic>Elbow</topic><topic>Female</topic><topic>General Surgery</topic><topic>Hemodialysis</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hyperparathyroidism, Secondary - surgery</topic><topic>Laboratories</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Parathyroidectomy</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Studies</topic><topic>Transplants & implants</topic><topic>Veins & arteries</topic><topic>Vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qi, H J</creatorcontrib><creatorcontrib>Yang, W W</creatorcontrib><creatorcontrib>Zhang, L D</creatorcontrib><creatorcontrib>Shi, X J</creatorcontrib><creatorcontrib>Li, Q Y</creatorcontrib><creatorcontrib>Ye, T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the Royal College of Surgeons of England</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qi, H J</au><au>Yang, W W</au><au>Zhang, L D</au><au>Shi, X J</au><au>Li, Q Y</au><au>Ye, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peripherally inserted central catheters for calcium requirements after successful parathyroidectomy: a comparison with centrally inserted catheters</atitle><jtitle>Annals of the Royal College of Surgeons of England</jtitle><addtitle>Ann R Coll Surg Engl</addtitle><date>2017-05</date><risdate>2017</risdate><volume>99</volume><issue>5</issue><spage>358</spage><epage>362</epage><pages>358-362</pages><issn>0035-8843</issn><eissn>1478-7083</eissn><abstract>BACKGROUND Intravenous calcium supplements are often required following parathyroidectomy to avoid postoperative hypocalcaemia. The aim of this study was to compare application effect of a femoral central venous catheter (CVC) and peripherally inserted central catheter (PICC) on intravenous calcium supplements after parathyroidectomy. METHODS We retrospectively reviewed the hospital records of 73 patients with secondary hyperparathyroidism who underwent a successful parathyroidectomy at the Huashan Hospital attached to Fudan University between 1 April 2011 and 1 February 2016. RESULTS Of the 73 study participants, 39 (53.4%) had a PICC and 34 (46.6%) had a CVC, respectively. Patients in the CVC group needed 6-7 days of intravenous calcium supplements, while patients in PICC group needed only 2-3 days to achieve normal serum calcium concentration (2.2-2.6 mmol/L). Furthermore, the duration of calcium supplementation was 71.62 ± 4.48 hours in PICC group and 100.4 ± 5.43 hours in CVC group (P < 0.05). Of the patients in PICC group, the incidence of catheter occlusion, operation failure and hypocalcaemia was 0%, which was significantly lower than those in CVC group (2.56%, 7.69% and 7.69%, respectively). CONCLUSIONS PICC is a safe and efficient alternative in contrast to CVC for providing venous access for calcium supplementation in surgical patients after parathyroidectomy.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28462656</pmid><doi>10.1308/rcsann.2017.0004</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Administration, Intravenous Antibiotics Calcium - administration & dosage Calcium - blood Calcium - therapeutic use Cancer therapies Catheterization, Central Venous - statistics & numerical data Catheterization, Peripheral - statistics & numerical data Catheters Elbow Female General Surgery Hemodialysis Hospitals Humans Hyperparathyroidism, Secondary - surgery Laboratories Male Middle Aged Nurses Parathyroidectomy Patients Retrospective Studies Studies Transplants & implants Veins & arteries Vitamin D |
| title | Peripherally inserted central catheters for calcium requirements after successful parathyroidectomy: a comparison with centrally inserted catheters |
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