The risks and benefits of vascular access must be matched to the medical needs and condition of the individual patient. For some patients, PICC lines are simply 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.
Most PICC lines can be safely placed at the bedside by a specially trained registered nurse avoiding the cost of surgery or a special procedures team. The registered nurse inserting the PICC will verify catheter tip location prior to infusion. Patients with venous thrombosis or peripheral venous stenosis may be candidates for placement by interventional radiology with the benefit of real time fluoroscopy.
Indications for PICC Placement
|JAVA study 2005||Intermountain medical Center|
Indications for using a PICC line include:
Contraindications for placement of a PICC can include: