Additionally, some PICCs are impregnated with solutions that can help reduce the risk of infectious or thrombotic complications.įirstly, a vein of an adequate size in the middle of the upper arm is located using ultrasound guidance (Dawson, 2015, Spencer and Mahoney, 2017). PICCs can be power injectable and suitable for the delivery of contrast media via an injection pump. This means that there is no mixing of medications when delivered through the lumens. This is because the lumens have separate fluid pathways. Each lumen of multi lumen PICCs should be treated as a catheter in its own right. PICCs are available as a single, dual or triple lumen device. As the name suggests, PICCs are central venous access devices, meaning that the tip of the catheter terminates in one of the large central veins of the body (Figure One). What is a peripherally inserted central catheter?Ī peripherally inserted central catheter usually referred to as a PICC, is a long tube made from silicone or polyurethane. This first article will focus on the description of the PICC and how it differs from the other long term vascular access devices. This series of articles aims to increase the skills and knowledge of clinicians who are responsible for the care and maintenance of PICCs. Additionally, clinicians should be skilled in the strategies and methods necessary to reduce device complications (Gorski, 2021, Kelly, 2019). To reduce the risk of complications, morbidity, and mortality, practitioners who manage VADs need to be educated and constantly updated about correct use and care of them. These advances include the use of needle-free devices, securement devices, and antiseptic caps, as well as chlorhexidine-impregnated discs and dressings (Apata et al., 2017 Kelly, Jones and Kirkham, 2017 Wang, et al. In addition to advances in insertion techniques, which include the use of ultrasound guidance (Hill, 2019) and the use of electrocardiography to determine catheter tip position (Pittiruti, 2015), advances in techniques and technology for the post-insertion management of VADs have also erupted. Over the past few decades, there have been many scientific advances in technology and techniques in the field of vascular access. Broadhurst, Moureau and Ullman (2016) agree and claim that the prevention of complications is possible with appropriate evidence-based practices. (2016), many such complications and failures are preventable. Most post-insertion complications are attributed to poor care and maintenance practices. They can occur in all devices including a PICC and are a significant burden on healthcare workers. It is now accepted that the presence of any VAD immediately places patients at risk of complications. This information is very valuable and will help us to provide you with the best, most timely service possible.Although Vascular Access Devices (VAD) have many advantages, the burden of harm associated with them is significant. To better assist us with your treatment, we are asking that you bring a list of your current medications and doses. If you have any questions about getting ready for your test, please call 41 ext.You will be taken back to this area for a follow-up assessment. You will be asked to change into a hospital gown, and an assessment will be done before going to the Medical Imaging Department. After registration you will go to an observation area prior to your exam.You will be given discharge instructions prior to leaving.Please inform the technologist of any known allergies.Procedure Time: 60-90 minutes Patient Prep Preparation Instructions: The PICC line will be capped and a dressing will be applied to the skin. Normal saline will be used to flush the line. Once in place, the PICC line will be secured to the skin. A chest x-ray will be taken to show the placement of the PICC line. The skin will be numbed and the doctor will insert a needle into the vein. Ultrasound will be used to locate a vein in your upper arm. You will be lying on your back with your arm extended out for the exam. The PICC may stay in place for several weeks or months as long as you need medications, fluids, or blood draws. The PICC line can also be used for blood draws. Medications, antibiotics, or other fluids can be given through the catheter preventing repetitive needle sticks. The PICC line is then advanced from the arm into a vein in the chest. The PICC is a small tube that is placed into a vein near the bend of your elbow. PICC is short for Peripherally Inserted Central Catheter. Home > Services > Medical Imaging > PICC Line What is a PICC line?
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |