The final position of the PICC is confirmed by the radiologist on a chest X-ray obtained at the time of the procedure. To ensure safe and accurate PICC placement, PICC lines are inserted using either ultrasound or fluoroscopic imaging guidance. PICC insertion procedures are performed by HSS radiologists and qualified and specially trained radiology nurses, radiology physician assistants and radiology nurse practitioners trained to safely use ionizing radiation, ultrasound and interventional vascular procedures. What is so special about a PICC insertion at HSS? Total parenteral nutrition (vitamins, minerals, electrolytes, proteins, carbohydrates, etc.).Typical intravenous (IV) therapies administered through a PICC include: The PICC can also be used for short intervals in a patient with difficult vein access. The patient may be discharged to a rehabilitation facility or to their home with home care nursing arranged for the completion of intravenous therapy with the PICC in place. The benefit of a PICC is that the catheter can remain for a long period, typically two to six weeks, over which a course of medication such as antibiotics can be delivered. Who orders a PICC line?Ī PICC must be ordered by your primary physician or surgeon or their consulting colleague. The purpose of the PICC insertion procedure is to provide medicinal therapy and fluids through an intravenous catheter. This tube may have one or two openings, called lumens, that are used to deliver medication.Īfter written informed patient consent is obtained, the procedure is performed in a radiology interventional procedure room and takes about an hour. The catheter is a long, thin tube that is advanced into the body in the veins until the internal tip of the catheter is in the superior vena cava, one of the central venous system veins that carries blood to the heart. PICC stands for "peripherally inserted central catheter." This intravenous catheter is inserted through the skin, into a vein in the arm, in the region above the elbow and below the shoulder.
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