PICC lines

Central PICC line placed with maintenance fluids ... 

When the patients are dressed appropriately, PICC lines are often inconspicuous. Upper arm PlCCs are covered by short sleeves and may result in an improved body image. ... 

Three hours later, the patient received 21 000 units of heparin in preparation for cardiopulmonary bypass (CPB). After CPB the heparin was reversed with protamine. Forty-nine hours post-operatively, intravenous heparin was started for thrombophylaxis of the prosthetic aortic valve. Fifty-three hours post-operatively, the PICC line became clotted and 2 mg of alteplase was administered. Intense back pain and blood in the epidural catheter and around the epidural 205 puncture site were noted. The pediatric team removed... 

Solutions containing 12.5 % dextrose and higher cannot be given peripherally and require a central line (peripherally inserted central catheter or PICC, port or central access). 

MidUne catheters and peripherally inserted central catheters (PlCC) are inserted in a peripheral vein but the tip rests in a larger vein. The infusion fluid flows directly in the larger vein which diminishes the chance of phlebitis. Both types of catheters are typically inserted in a vein in the upper arm. The midline catheter ends at armpit height the tip of the PICC rests in the vena cava superior. The PlCC may have single or multiple lumens. The PlCC line can be used as a central venous catheter for infusion which needs fast dilution or distribution or both such as antibiotics, pain medicine, chemotherapy, nutrition, etc. 

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