A peripherally inserted central catheter is a long, thin tube that is inserted through a vein in the arm. The catheter is threaded through the arm vein until it reaches a larger vein close to the heart. This is commonly called a PICC line.
Veins in the Arm
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PICC lines may be used if you need:
After the PICC line is in, it can be used for weeks to months.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Factors that may increase the risk of complications include:
You will be given a local anesthetic to numb the area where the PICC line will be inserted.
This procedure is usually done in an outpatient setting, so you will not need to stay overnight in the hospital. If you are already in the hospital for a different reason, this procedure is not likely to extend your stay.
Having a catheter inserted increases your risk of a bloodstream infection. The hospital staff will take steps to reduce this risk.
During the procedure, the staff will:
Your arm will be checked for bleeding, drainage, and bruising.
About 30 minutes
During the procedure, you will not feel any pain because of the anesthetic. There may be mild discomfort at the insertion site after the procedure.
Following the procedure, the staff may provide the following care to help you recover:
There are also steps that you can take to reduce your risk of infection:
When you return home:
After arriving home, contact your doctor if any of the following occur:
If you think you have an emergency, call for medical help right away.
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The College of Family Physicians of Canada
Central venous catheter. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 16, 2016. Accessed March 2, 2016.
FAQs: Catheter-associated bloodstream infections. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/hai/pdfs/bsi/BSI_tagged.pdf. Accessed March 2, 2016.
6/3/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed March 2016 by Michael J. Fucci, DO, FACC
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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