Emergency Medicine Book

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PICC Line

Aka: PICC Line, Peripherally Inserted Central Catheter
  1. See Also
    1. PICC Line Thrombosis
    2. Intravenous Access
    3. Central IV Access
    4. Peripheral IV Access
    5. Intraosseous Access
    6. Ultrasound-Guided Internal Jugular Vein Catheterization
    7. Ultrasound-Guided Antecubital Line
  2. Indications
    1. Outpatient intravenous management
  3. Complications
    1. Minor complications
      1. Entry site infection
      2. Phlebitis
    2. Major complications
      1. Pulmonary Embolism (0.1% risk)
      2. Venous Thrombosis (2.5% risk)
        1. See PICC Line Thrombosis
        2. Higher risk with Amphotericin B (10x risk)
        3. May present as serous drainage from the PICC insertion site
        4. Ultrasound with high frequency linear probe starting at insertion site and scan up extremity
          1. Observe for clot and compressibility
          2. Any concerns should prompt formal Ultrasound
  4. References
    1. Chemaly (2002) Clin Infect Dis 34:1179-83 [PubMed]

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