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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 ...
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. The area is bandaged and allowed to heal. [citation needed]
The patient may go home with a PICC. They avoid the complications of central line placement (e.g. pneumothorax, accidental arterial cannulation), and they are relatively easy to place under ultrasound guidance and cause less discomfort than central lines. [3] PICC lines may be inserted at the bedside, in a home or radiology setting.
The insertion of a central Groshong line is usually done under local anesthetic by an interventional anaesthesiologist, interventional radiologist or surgeon. Throughout the procedure, ultrasound and X-rays may be used to confirm placement. When a central venous catheter is inserted, a chest radiologic examination is usually performed to ...
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.
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 insertion site of the IJV is fixed between the two heads (sternal and clavicular heads) of the sternocleidomastoid. 2% lignocaine is to infiltrate the puncture site. Using a 24G needle attached to 5 cc syringe, the needle is advanced through the puncture site with its tip pointing towards the nipple of the same side.
The Seldinger technique is used for angiography, insertion of chest drains and central venous catheters, insertion of PEG tubes using the push technique, insertion of the leads for an artificial pacemaker or implantable cardioverter-defibrillator, and numerous other interventional medical procedures.