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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