Peripherally Inserted Versus Centrally Inserted Central Venous Catheters in the Neurological Intensive Care

Inclusion Criteria:

- all patients age > 18, admitted to the neurological ICU who are require a de novo
central venous catheter as standard of care and in which a double lumen 5f PICC or
CICVC (triple lumen, 7f) are acceptable for the indication.

- the patients must be expected to survive and need a central venous catheter for at
least 7 days.

Exclusion Criteria:

- prisoner

- age < 18

- expected to die or have care withdrawn prior to ICU day 7

- requiring an emergent central venous catheter

- suspected bacteremia

- recent central venous catheter within the last 30 days

- patients who are not a candidate for bedside placement of either a CICVC or PICC line

- patients with renal insufficiency with creatinine level greater than 3.0 mg/dL (265.2
m mol/L) or who were undergoing hemodialysis

- patients requiring a central venous catheter for prolonged antibiotic therapy\

- patient who the treating clinician feels clearly needs one particular type of
catheter over the other