Peripherally Insert Central Venous Catheters (PICCs) - Pediatric Radiology and NICU

Audience: Medical students, interns, pediatricians, and radiology residents

Learning Objectives:
Recognize the ideal location and suboptimal locations for the tip of an peripherally inserted central venous catheter in infants
Describe the common complications that can arise from an peripherally inserted central venous catheter

Why use a PICC?
Medicine administration- Sodium bicarbonate, dopamine, dobutamine, calcium gluconate can cause severe phlebitis
Fluids and electrolytes
Nutrition
Length of Use
UVC - 14 days vs PICC - 3 months

Where?
Insertion: Brachial vein, Cephalic vein, Axillary vein, Sapheneous vein, Popliteal vein

Terminus: Superior vena cava, inferior vena cava, brachiocephalic, internal jugular, subclavian, iliac and common femoral veins

Complications:
Central line-associated bloodstream infection
Phlebitis
Leakage
Perforation
Thrombosis

Видео Peripherally Insert Central Venous Catheters (PICCs) - Pediatric Radiology and NICU канала Radiology Education by Joseph W. Owen, MD