Emergency Medicine Book



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
      3. PICC Line port Occlusion (e.g. one port on a triple lumen catheter)
        1. TPA 2 mg reconstituted in 2.2 ml sterile water injected into occluded port
          1. Attempt aspiration and repeat attempt aspiration every 30 minutes for 2 hours
          2. If aspiration is successful, withdraw 4-5 cc blood, and then flush catheter
        2. If unsuccesful, may repeat the TPA injection protocol once as above
    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]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree