The aim of this multicenter randomized clinical trial is to compare the tunneling technique of PICC insertion with the non-tunneled insertion technique in the incidence of the combined or isolated outcome of catheter-related bloodstream primary infection, thrombosis, obstruction, and accidental dislodgement in the adult population within a period of up to 30 days.
adult patients (>= 18 years old) admitted to medical clinics, surgical clinics, or ICU, who have an indication for PICC insertion;
patients with Chronic Kidney Disease, whether dialytic or not;
patients in critical or unstable condition characterized by the need for intubation, respiratory rate <8 or >35 breaths per minute, oxygen saturation <90%, heart rate <40 or >140 beats per minute, systolic blood pressure <90mmHg, decreased Glasgow Coma Scale >2 points, or prolonged (>5 minutes) or repeated seizures;
patients with cognitive deficits that impair their understanding of the study and do not have a responsible party to assist in this stage.
Hospital de Clinicas de Porto Alegre
Lead sponsor
Hospital Moinhos de Vento
Collaborator
Irmandade Santa Casa de Misericórdia de Porto Alegre
Collaborator