How are PICC lines removed?

How are PICC lines removed?

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The peripherally inserted central line catheter (PICC) is generally used to administer medications over a long period of time. The physician or nurse inserts the PICC line, a thin tube, into the vein in the arm. The tube is advanced until it reaches the superior vena cava, a vein that carries blood to the heart.

A simple intravenous (IV) line delivers medications, nutrition and fluids for a short period of time. When an IV line is needed for a longer period of time, or a safer venous access is needed, a CCIP line is used. The PICC line can remain in place for weeks to months, if necessary, although the rules may be different in different hospitals. The PICC line can be easily and repeatedly accessed without needle punctures to the patient. This special catheter is safer and more durable than a simple IV line and may be necessary for the administration of certain medications.

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However, sometimes PICC may be associated with infections caused or not by contamination of the device. Faced with this situation, many professionals opt for catheter removal but this is not always the best option. We spoke with Maite Parejo, Vascular Access Specialist of the Intravascular Therapy Team of the Hospital Sant Joan de Reus, about the prevalence of infections associated with this device for intravascular therapy (1).

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It depends on the season; curiously, during the vacation season there are more suspected catheter infections. We measure the suspicions and also the confirmations per 1000 days of insertion. For example, in a work done in 2017 of 4300 days of insertion appeared 8 cases of suspicion which was 2% and actually 2 were confirmed, equivalent to less than 0.5%.

My impression, I speak from what I perceive in my work center, is that no, nursing has been explaining through the ETI which are the guidelines to follow, which is the venous capital and the importance of taking care of it, although much remains to be done.

Central venous catheter removal: complications

A peripherally placed central catheter (PICC) is a long, thin tube that is inserted into the body through a vein in the upper arm. The end of the catheter ends in a large vein near the heart. Your health care provider has determined that you need a PICC line. The following information will give you an idea of what to expect when the PICC is inserted.What is a peripherally placed central catheter (PICC)?

The PICC helps deliver nutrients and medications to your body. It is also used to draw blood when you need blood tests.A PICC is used when you need intravenous (IV) treatment over a long period of time or if regular blood draws have become difficult.How is a PICC inserted?

The PICC insertion procedure can be done in the radiology (x-ray) room or at your hospital bedside. The steps for insertion are:The catheter that was inserted is attached or another catheter that remains outside the body. You will receive medication and other fluids through this catheter.

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People with cancer often receive treatment through a vein. The medical term for this is intravenous (IV) treatment. This allows your health care team to give you chemotherapy, other medications, blood transfusions and fluids. Medical devices called catheters and ports facilitate intravenous treatments. They can also make it easier to draw blood samples for your health care team.

Part of the catheter can remain outside your body so that it is easy to insert the medication into the catheter. When you are not receiving treatment, the catheter is clamped or capped to keep it closed. Some catheters are divided into 2 or 3 separate ends. These are double or triple lumen catheters. This type of catheter allows you to receive more than 1 treatment at a time.

The I.V. catheter is usually removed by a member of the nursing staff when you finish your treatment for the day. A new I.V. line will be placed each time you receive treatment. Sometimes you may have the catheter in for 2 or 3 days if it is secure in the vein and not painful.

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