Peripherally Inserted Central Catheter (PICC) Guidelines - Nursing Perspective
DOI:
https://doi.org/10.26463/rjns.14_1_10Keywords:
PICC, Total Parentral Nutrition, Infection, Prevention, LumenAbstract
A Peripherally Inserted Central Catheter (PICC) is a form of intravenous line that grants access to the central venous system. It is inserted through a vein in the arm and then carefully advanced until it reaches a large vein close to the heart. The PICC has one, two, or three separate channels, called lumens, that can be used for different purposes, such as blood sampling, medication administration, fluid infusion, and other interventions. Each lumen has a cap and a connector that prevents contamination and allows needle-free access. Venous access is crucial for many patients who need frequent or complex treatments, such as critically ill patients who require blood tests, drugs that affect blood pressure, fluid replacement, long-term antibiotics, and other indications.
References
1. Gonzalez R, Cassaro S. Percutaneous Central Catheter. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing;2023.
2. Hoshal Jr VL. Total intravenous nutrition with peripherally inserted silicone elastomer central venous catheters. Arch Surg 1975;110(5):644-6.
3. Bender CM, Rosenzweig M, Green E. Cancer. In: Goldsworthy S, Barry MA. Medical-surgical nursing in Canada: Assessment and management of clinical problems (1st Canadian ed.). Toronto: Mosby; 2006.
4. Chung DH, Ziegler MM. Central venous catheter access. Nutrition 1998;14(1):119-23.
5. PICC line & Midline Catheter, https://lavascular. com/picc-line-midline-catheter/#Advantages_ of_a_PICC LAVascularMD. PICC line & Midline Catheter [Internet]. LA Vascular. 2021 [cited 2024 Jan 3]. Available from: https://lavascular.com/piccline-midline-catheter/#Advantages_of_a_PICC
6. Linenberger ML. Catheter-related thrombosis: risks, diagnosis, and management. J Natl Compr Canc Netw 2006;4(9):889-901.
7. Martynov I, Raedecke J, Klima-Frysch J, Kluwe W, Schoenberger J. Outcome of landmark-guided percutaneously inserted tunneled central venous catheters in infants and children under 3 years with cancer. Pediatr Blood Cancer 2018;65(10):e27295.
8. Vierboom L, Darani A, Langusch C, Soundappan S, Karpelowsky J. Tunnelled central venous access devices in small children: A comparison of open vs. ultrasound-guided percutaneous insertion in children weighing ten kilograms or less. J Pediatr Surg 2018;53(9):1832-1838.
9. Takano S, Shimizu N, Tokuyasu N, Sakamoto T, Honjo S, Ashida K, et al. Comparative study of complications in CV catheter insertion for pediatric patients: real-time ultrasound-guided versus venography-guided approach. Yonago Acta Med 2017;60(4):234-240.
10. Jonczyk M, Gebauer B, Schnapauff D, Rotzinger R, Hamm B, Collettini F. Peripherally inserted central catheters: dependency of radiation exposure from puncture site and level of training. Acta Radiol 2018;59(6):688-693.
11. Al Hamod DA, Zeidan S, Al Bizri A, Baaklini G, Nassif Y. Ultrasound-guided central line insertion and standard peripherally inserted catheter placement in preterm infants: Comparing results from prospective study in a single-center. N Am J Med Sci 2016;8(5):205-9.
12. Arul GS, Livingstone H, Bromley P, Bennett J. Ultrasound-guided percutaneous insertion of 2.7 Fr tunnelled Broviac lines in neonates and small infants. Pediatr Surg Int 2010;26(8):815-8.
13. Modified Seldinger Technique [Internet]. Neo Medical Inc. 2021. Available from: https://www. neomedicalinc.com/modified-seldinger-technique/
14. Peripherally Inserted Central Catheter [Internet]. Available from: https://csds.qld.edu.au/sdc/ Provectus/ICU-orientation/Common%20ICU%20 Procedures/PIC%20Line%20Insertion/pdf/ PICC%20Insertion.pdf
15. Peripherally Inserted Central Catheter (PICC) Lines: https:// neuroanesthesia. stanford.edu/peripherally-inserted-central-catheter-picc-lines
16. HSS: Peripherally Inserted Central Catheter (PICC Line): https:// www.hss.edu/ conditions_piccinsertion-procedure.asp
17. Matiotti-Neto M, Eskander MF, Tabatabaie O, Kasumova G, Bliss LA, Ng SC, et al. Percutaneous versus cut-down technique for indwelling port placement. Am Surg 2017;83(12):1336-1342.
18. Oulego-Erroz I, Alonso-Quintela P, Terroba-Seara S, Jiménez-González A, Rodríguez-Blanco S, Vázquez-Martínez JL. Ultrasound-guided cannulation of the brachiocephalic vein in neonates and preterm infants: A prospective observational study. Am J Perinatol 2018;35(5):503-508.
19. Fischer JE, Fanconi S. Percutaneous central venous catheterization in premature infants: a method for facilitating insertion of silastic catheters via peripheral veins. Pediatrics 1998;101(3 Pt 1):477-9.
20. Ceballos K, Waterman K, Hulett T, Makic MB. Nurse-driven quality improvement interventions to reduce hospital-acquired infection in the NICU. Adv Neonatal Care 2013;13(3):154-63; quiz 164-5.
21. Chathas MK. Percutaneous central venous catheters in neonates. J Obstet Gynecol Neonatal Nurs 1986;15(4):324-32.
22. Grau D, Clarivet B, Lotthé A, Bommart S, Parer S. Complications with peripherally inserted central catheters (PICCs) used in hospitalized patients and outpatients: a prospective cohort study. Antimicrob Resist Infect Control 2017;6:18.
23. The Royal Marsden NHS FT. Guidelines for care of a Peripherally Inserted Central Catheter (PICC) by community staff/practice nurses; 2016. Available from: https:// www.nice.org.uk/ guidance/mtg34/ resources/guidelines-for-care-of-a-piccs-bycommunity-staffpractice-nurses-royal-marsdennhs-ft-pdf-4481503168