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

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