Vascular access must be matched to the medical needs and condition of the individual patient. For some patients, PICC lines are the safest method to deliver infusion therapy. For others a PICC avoids the risk of an invasive surgical procedure required to place a long term central catheter. Many patients appreciate the benefit of PICC in-home infusion and a quick return to normal activities. PICCs avoid the pain and injury involved in repeated punctures with short peripheral catheters. Cost is also a consideration.
PICC utilization reports |
|||||
JAVA study 2005 | Clinical Research Study 2014 | Intermountain medical Center 2011 | |||
Long-Term Antibiotics | 45% | Long-Term Antibiotics | 52% | Medications | 39.2% |
Venous Access | 21% | Venous Access | 21% | Antibiotics | 29.2% |
TPN | 12% | TPN | 16% | Venous access | 23.9% |
Unknown | 9% | Chemo | 11% | TPN | 7.3% |
Chemo | 8% | Other | 3.6% | ||
Multiple reasons | 5% | Chemo | 0.6% |
Indications for PICC line insertion include:
Possible contraindications for placement of a PICC can include:
References
Burns D. (2005) CLINICAL INVESTIGATION: RETROSPECTIVE ANALYSIS
The Vanderbilt PICC Service: Program, Procedural, and Patient Outcomes Successes
Journal of the Association for Vascular Access (JAVA), Vol. 10 No. 4
Chopra V., Ratz D., Kuhn L., Lopus T., Chenworth C., Klein S. (2014) PICC-associated Bloodstream Infections: Prevalence, Patterns, and Predictors. The American Journal of Medicine. CLINICAL RESEARCH STUDY| VOLUME 127, ISSUE 4 , P319-328.
Gonzalez R, Cassaro S. Percutaneous Central Catheter. [Updated 2020 Sep 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459338/
QHC. 2016. Resource Manual. Peripherally Inserted Central Catheters.
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