PICC Line
A PICC line is a catheter inserted into a vein of the arm, usually above the elbow, and threaded through until it terminates just above the heart. PICC lines closely resemble central lines, with the primary distinction lying in the insertion site. These lines come in various configurations (single versus double lumen) and sizes to accommodate different medical needs and patient requirements.
Why is it Done?
A PICC line becomes essential when a patient requires prolonged administration of medications directly into their veins. Compared to the discomfort of repeated needle insertions, having a PICC line placed proves to be easier and less painful. PICC lines offer several advantages over traditional IVs, as they can remain in place for extended durations, facilitate easier blood draws, and accommodate a broader spectrum of medications.
Although PICC lines and central lines serve similar purposes, some patients favor the location and convenience of PICC lines.
How is it Performed?
During the PICC line insertion procedure, the patient is typically positioned lying on a bed. The skin surrounding the intended site undergoes thorough cleaning, followed by the administration of a local numbing medicine (anesthetic) to minimize discomfort. Subsequently, a needle is carefully inserted through the skin and into a vein in the upper arm. Through this needle, a wire is then advanced, with fluoroscopy (real-time X-ray) utilized to monitor its positioning and ensure its accurate placement towards the heart. Following this, a hollow sheath is passed over the wire, allowing for the insertion of the PICC line. Once the PICC line is appropriately positioned, its placement is confirmed through fluoroscopic imaging. Finally, the sheath is removed, and the PICC line is securely bandaged in place.
What is My Recovery Time?
In preparation for the procedure, you may be instructed to withhold specific medications. Throughout the procedure, you might be requested to briefly hold your breath or adjust the position of your arm to facilitate venous access. As the PICC line is being inserted, you may encounter moments of discomfort or pressure in your arm and chest. These sensations are typically transient and can be managed effectively by the medical team.
Possible Risks/Complications
While typically deemed a low-risk intervention, complications of PICC line placement may include bleeding at the puncture site, accidental puncture of an artery, infection, or malfunction of the PICC line, particularly if it is inadvertently displaced from its intended position.