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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.
Routine removal and replacement of a central venous catheter is not recommended. While central line catheters should be removed as soon as they are no longer necessary, scheduled removal and replacement, whether over a guidewire or with a new puncture site, has not been shown to be beneficial in preventing infections.
The most common form of venous access is a peripheral venous cannula which is generally inserted into veins of the hands, forearms, and occasionally feet. [1] Healthcare providers may use a number of different techniques in order to improve the chances of successful access.
A catheter embolism may occur when a small part of the cannula breaks off and flows into the vascular system. When removing a peripheral IV cannula, the tip should be inspected to ensure it's intact. [5] Because of the risk of insertion-site infection the CDC advises in their guideline that the catheter needs to be replaced every 96 hours. [6]
If a vein spasms while an intravenous catheter such as PICC line is being removed the catheter can become torn and require retrieval by interventional radiology. [1]
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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 ...