Learning objectives
Know the most common indications,
insertion,
use and care of PICC.
Prevent and treat complications.
Compare cost-benefit,
pros and cons against other vascular accesses.
Background
The medical advance and the high complexity of the patients has forced the development of medical treatments of prolonged use and that by their characteristics have a vesicant character for the receiving vessel that forces to use central veins frequently,
on the other hand together with the prolongation of life expectancy is essential to improve the quality of life by using access routes more comfortable for the patient and with fewer complications.
It also is interesting to know in which circumstances the different types of...
Findings and procedure details
PICC are polyurethane catheters whose insertions are in a peripheral vein but the location of its distal end is central in superior vena cava.
The material provides a biocompatible and radiopaque line and has been proved to use for long periods of time with the proper care.
The insertion of PICC guided by an imaging technique (Eco Directed Seldinger method and fluoroscopic control or confirmation of catheter tip by ECG.) has become the method of choice in many centers,
reducing morbidity and mortality,
reducing costs...
Conclusion
In selected patients the proper techniques of insertion and care of the PICCs are rentable and more comfortable for the patient with a low rate of treatable complications.
References
Hoshal VL (May 1975).
"Total intravenous nutrition with peripherally inserted silicone elastomer central venous catheters".
Arch Surg.
(Mauro and Jaques,
1993; Cardella et al.,
1996).
(Center for Disease Control and Prevention,
2002)
Leroyer C,
Lashéras A,
Marie V,
Le Bras Y,
Carteret T,
Dupon M,
et al.
Prospective follow-up of complications related to peripherally inserted central catheters.
Med Mal Infect.
2013;43(8):350–5.
Interdisciplinary clinical practice manual,
infection control,
vascular access device policy,
adult
Hornsby “Cost losses associated with PICC,
Stick,
and run Team” JIN: 298(1) Jan/Feb...