Peripherally Inserted Central Catheters

For PICC line isertion choose the Basilic Vein (medial antecubital vein),because it has Larger diameter(8mm) compared to Cephalic(lateral) 6mm,also i has straight course

PICC have low risk of infection ,and can be left in place for 30 days

PICC pneumothorax risk is Zero

On the Other hand PICC have higher incidence of thrombosis,becuase of smaller diameter(2x higehr risk of venous thrombosis)

PICC can be used to measure CVP,CVP recorded via PICC lines are about 1 mm Hg higher than CVP from centrally inserted venous catheters.

Heparinized saline should be infused at arte of 3ml/hr,because of narrow and long course.

Bonizzoli M et al. Intensive Care Med 37: 284, 2011
Central venous pressure measurements: Peripherally inserted catheters versus centrally inserted catheters - Critical Care Medicine. 28(12):3833-3836, December 2000.

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power injectable peripherally inserted central catheters

Clinical experience with power injectable peripherally inserted central catheters in intensive care patients Introduction In intensive care units (ICU), peripherally inserted central catheters (PICC) may be an alternative option to standard central venous catheters, particularly in patients with coagulation disorders or at high risk for infection. Some limits of PICCs (such as low flow rates) may be overcome by the use of power-injectable catheters . Method We have retrospectively reviewed all the power injectable PICCs inserted in adult and pediatric patients in the ICU during a 12-month period, focusing on the rate of complications at insertion and during maintenance. Results We have collected 89 power injectable PICCs (in adults and in children), both multiple and single lumen. All insertions were successful. There were no major complications at insertion and no episodes of catheter-related blood stream infection. Non-infective complications ...

The 12 decision making steps for post dural puncture headache treatment

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