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A peripherally inserted central catheter (PICC or PICC line), also called a percutaneous indwelling central catheter or longline, [1] is a form of intravenous access that can be used for a prolonged period of time (e.g., for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition) or for administration of substances that should not be done peripherally (e.g ...
A peripherally inserted central catheter, or PICC line (pronounced "pick"), is a central venous catheter inserted into a vein in the arm (via the basilic or cephalic veins) rather than a vein in the neck or chest. The basilic vein is usually a better target for cannulation than the cephalic vein because it is larger and runs a straighter course ...
They are used when intermediate-term access (one month) is needed or when administering medications that are highly irritating to smaller veins. However, their use is declining in favor of PICC lines which have the added benefit of more central access and longer potential dwell-times. [1] [2] [7]
In angiography, a saline flush is used to improve the dispersion of contrast media before imaging, This can prevent streak artefact due to concentrated bands of contrast media in the superior vena cava and brachiocephalic vein. Flushing can also increase hydration within contrast media, thus reducing the risk of contrast induced nephro toxicity ...
Standard catheter. 1. The catheter itself is composed of (a) a tip for insertion into the vein, (b) wings for manual handling and securing the catheter with adhesives, (c) a valve to allow injection of drugs with a syringe, (d) an end which allows connection to an intravenous infusion line, and capping in between uses.
Sometimes, the physical condition of the patient, especially the structure of their veins, does not allow for the insertion of a port. An alternative is the PICC line, despite drawbacks such as external entry point and limited lifespan of the device. [13]
A Hickman line two-lumen catheter inserted on the patient's left side. Scars at the base of the neck indicate the venotomy site and insertion point into the left jugular vein . A Hickman line is a central venous catheter most often used for the administration of chemotherapy or other medications, as well as for the withdrawal of blood for analysis.
The catheters in inserted into the veins in the arm such as the cephalic, basilic, or brachial veins and then advanced towards the heart. The line can then be used for delivery of chemotherapeutic agents. Removal of a PICC is a relatively simple procedure that can be accomplished by a trained nurse even in the outpatient setting.