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PICC LINE
A percutaneously inserted central catheter (PICC) is a long, very thin, soft flexible tube
that is put into a small blood vessel and reaches deep into a larger blood vessel.
A PICC is used when a baby needs IV (intravenous) fluids or medicines over a long period o
At least 2 veins
Basilic vein > Cephalic vein
Less plastic inside
Insertion Distance
•For longlines inserted via the leg, measure from insertion site to xiphisternum .
•For longlines inserted via the arm, measure from insertion site to the sternal notch
•Do not use a syringe less than 10ml. The smaller the syringe, the greater the pressure -
which may rupture the line.
•Heparin 5 units per ml 1 ml per hour needed?
Left side pics line should cross the spine
Rt than left
DIslodgement/breakage
Migration to small vessels
Thrombosis
CLABSI
COMPLICATIONS
The operator should record in the notes the following information:
• Details of discussion with parents regarding PICC line insertion
• Name & designation of the operator & anyone assisting/
supervising
• The measured optimum insertion distance
• The no. of lumens, type and size of catheter inserted e.g.
Premicath with stylet 28G
• The batch number
• Site of insertion
• Antisepsis used
• The length of catheter inserted (do not exceed the optimum
insertion distance)
• If less than this distance document .
DOCUMENTATION. ?

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DR RAKESH KOTHA PICC LINE

  • 2. A percutaneously inserted central catheter (PICC) is a long, very thin, soft flexible tube that is put into a small blood vessel and reaches deep into a larger blood vessel. A PICC is used when a baby needs IV (intravenous) fluids or medicines over a long period o
  • 3.
  • 4. At least 2 veins Basilic vein > Cephalic vein Less plastic inside
  • 5.
  • 6. Insertion Distance •For longlines inserted via the leg, measure from insertion site to xiphisternum . •For longlines inserted via the arm, measure from insertion site to the sternal notch
  • 7. •Do not use a syringe less than 10ml. The smaller the syringe, the greater the pressure - which may rupture the line. •Heparin 5 units per ml 1 ml per hour needed?
  • 8. Left side pics line should cross the spine Rt than left
  • 9. DIslodgement/breakage Migration to small vessels Thrombosis CLABSI COMPLICATIONS
  • 10.
  • 11. The operator should record in the notes the following information: • Details of discussion with parents regarding PICC line insertion • Name & designation of the operator & anyone assisting/ supervising • The measured optimum insertion distance • The no. of lumens, type and size of catheter inserted e.g. Premicath with stylet 28G • The batch number • Site of insertion • Antisepsis used • The length of catheter inserted (do not exceed the optimum insertion distance) • If less than this distance document . DOCUMENTATION. ?