What are some of the contraindications for PICC line insertion?

What are some of the contraindications for PICC line insertion?

Contraindications

• Burns, trauma, skin infections, radiation, history of venous thrombosis at insertion site.
• Active bacteremia.
• Chronic renal failure, end-stage renal disease (veins should be preserved for potential dialysis catheter placement)
• Small diameter of arm veins (smaller than 3 mm to 4 mm)

What should you not do with a PICC line in your arm?

Having a PICC shouldn’t keep you from doing your normal activities, such as work, school, sexual activity, showering, and mild exercise. Avoid contact sports, such as football and soccer, while your PICC is in place. Ask your doctor or nurse about any activities before you start them.

Can a PICC line be inserted in the left arm?

Peripherally inserted central catheter (PICC) are catheters that are placed mainly in the arms, but which pass in the veins to beside the heart. They are associated with occasional complications due to infection or blockage of the vein that they are in….Study of Complication Rates Associated With PICC for Left vs Right.

Is a PICC line always in the arm?

A PICC line is usually inserted in a vein in your upper arm, above your elbow.

Where does a PICC line go in your arm?

PICC stands for Peripherally Inserted Central Catheter. It’s a type of central line. The line goes into a vein in your arm, under local anaesthetic. A doctor or nurse can put it in during an outpatient appointment. The line runs up the vein inside your arm and ends up in a large vein in your chest.

When to not put a PICC line in a patient?

If a patient has a bacterial condition known as sepsis, then a PICC line should not be inserted until the blood cultures come back negative. This is because of the nature of the PICC line insertion; a patient who is already suffering from too much bacteria in the blood is at greater risk for infection and attendant complications.

Why are IV’s not allowed in the PICC arm?

We tell this by bedside ultrasound…..the reason is that if we stuff a PICC in that is too large for the vein..it effects the flow dynamics in the vein and could increase the pts risk for thrombosis….so it is not always a matter of matching up the number of IV therapies with the appopriate number of lumens.

Can a PICC be used for a blood draw?

We always use the calf for BP and foot vein for blood draw. But, I would feel ok using the same arm as a PICC, if that’s all that was available, especially for a blood draw. i’ve used a PICC arm for a peripheral IV when there was only a dual lumen and there was no other arm to use (amputee).

Can a PICC line be used in the left arm?

So we had a situation at work last night (not my patient, but I got asked for my input). Patient has double lumen PICC line in right arm. We can’t use the left arm. Patient has TPN/lipids going into one port, Amiodarone gtt into the other. Also had multiple IVPB antibiotics.

How long does it take for a PICC line insertion?

After written informed patient consent is obtained, the procedure is performed in a radiology interventional procedure room and takes about an hour. The patient is advised to lie on their back on a procedure table with the arm chosen for insertion resting on an arm board support.

Can a PICC be placed above the fistula?

I do not permit IV access above the wrist on the same side as the fistula. I do not permit Peripherally Inserted Central venous Catheters (PICC) access to be placed in any dialysis patient with a fistula.

We always use the calf for BP and foot vein for blood draw. But, I would feel ok using the same arm as a PICC, if that’s all that was available, especially for a blood draw. i’ve used a PICC arm for a peripheral IV when there was only a dual lumen and there was no other arm to use (amputee).