Operation Techniques of PICC Catheterization in Special Positions

Keywords

Central venous catheterization
Operation technique
PICC
Position placement
Special position

How to Cite

Li, F., Su, P., Li, Y., Zhang, H., Tian, M., Gao, H., Zhang, G., & Piao, L. (2022). Operation Techniques of PICC Catheterization in Special Positions. Iranian Red Crescent Medical Journal, 24(12). https://doi.org/10.32592/ircmj.2022.24.12.1284

Abstract

Background: Peripherally inserted central venous catheter (PICC) is a reliable and safe method of central venous catheterization.

Objectives: To investigate the operation techniques of peripherally inserted central venous catheter (PICC) catheterization in special Positions.

Methods: From January 2015 to August 2020, 52 cases in special positions were successfully catheterized and been divided into four types. We analyzed the characteristics of body positions, the principle of position placement and sterile sheet laying, the position of the operator, the evaluation before the catheterization, the preparation of related equipment for the catheterization, and the technical points of the catheterization operation among these four types.

Results: By adopting different techniques (patient position placement, disinfection, sterile sheet laying, operator location, and operation key points) according to different patient positions, PICC catheters were successfully inserted in 52 patients.

Conclusion: When PICC catheterization objects cannot be placed in conventional positions, individualized analysis should be carried out. According to the characteristics of their positions, special evaluation, position placement, disinfection and draping, and special equipment to assist individualized catheterization operations should be carried out.

https://doi.org/10.32592/ircmj.2022.24.12.1284

References

Gonzalez R, Cassaro S. Percutaneous Central Catheter (PICC). 2019;. Cited in: Ovid MEDLINE(R) Epub Ahead of Print at http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=medp&NEWS=N&AN=29083596. Accessed November 01, 2020.

Shingo Mitsuda, Joho Tokumine, Rena Matsuda, et al. PICC insertion in the sitting position for a patient with congestive heart failure: A case report. 2019, 98(6):e14413-e14413.

Spencer TR. Repositioning of central venous access devices using a high-flow flush technique - a clinical practice and cost review . J Vasc Access 2017; 18 (5): 419-425.

Gorski, Lisa & Hadaway, Lynn & Hagle, Mary & McGoldrick, Mary & Orr, Marsha & Doellman, D.. Infusion therapy standards of practice. J Infus Nurs. 2016;39. S1-S159.

Kennedy L. Implementing AORN recommended practices for sterile technique. AORN J. 2013;98(1):14-23; quiz 23-6.

Yamagami Y, Inoue T. Patient Position Affects Venodilation for Peripheral Intravenous Cannulation. 2020, 22(2):226-233.

Furlong-Dillard J, Aljabari S, Hirshberg E. Diagnostic accuracy among trainees to safely confirm peripherally inserted central catheter (PICC) placement using bedside ultrasound. Br J Nurs. 2020;29(19):S20-S28.

Moraza-Dulanto MI, Garate-Echenique L, Miranda-Serrano E, Armenteros-Yeguas V, Tomas-Lopez MA, Benitez-Delgado B. [Ultrasound-guided peripherally inserted central catheters (PICC) in cancer patients: success of the insertion, survival and complications]. [in Spanish] ENFERM CLIN. 2012;22(3):135-43.

Gebauer B, Teichgraber UK, Podrabsky P, Beck A, Wagner HJ. [Ultrasound- and fluoroscopy-guided implantation of peripherally inserted central venous catheters (PICCs)]. [in German] ROFO Fortschr Geb Rontgenstr Nuklearmed. 2004;176(3):386-91.

Nicholson J. Development of an ultrasound-guided PICC insertion service. Br J Nurs. 2010;19(10):S9-17.

Elli S, Cannizzo L, Marini A, et al. [Evaluation of tip location reliability of intraprocedural ECG vs. chest Xrays in PICC placement]. [in Italian] Assist Inferm Ric. 2016;35(4):174-179.

Oliver G, Jones M. ECG-based PICC tip verification system: an evaluation 5 years on. Br J Nurs. 2016;25(19):S4-S10.

Oliver G, Jones M. ECG or X-ray as the 'gold standard' for establishing PICC-tip location?. Br J Nurs. 2014;23 Suppl 19:S10-6.

Liu G, Hou W, Zhou C, et al. Meta-analysis of intracavitary electrocardiogram guidance for peripherally inserted central catheter placement. J. vasc. access. 2019;20(6):577-582.

Liu G, Hou W, Zhou C, et al. Meta-analysis of intracavitary electrocardiogram guidance for peripherally inserted central catheter placement. J. vasc. access. 2019;20(6):577-582.

Haider G , Kumar S , Salam B , et al. Determination of complication rate of PICC lines in oncological patients.[J]. Jpma the Journal of the Pakistan Medical Association, 2009, 59(10):663-7.

Harryanto H , Naidu K , Nguyen B , et al. A Comparison Study of Complication Rates €" To PICC or to CVC?[J]. Nihon Rinsho Japanese Journal of Clinical Medicine, 2014, 44(12):2558-67.

Baxi S . Evaluation of Peripherally Inserted Central Catheter (PICC) Adjustment and Risk of Bloodstream Infections (BSI) and Thrombus Formation[J]. Chinese Journal of Animal Nutrition, 2008, 25(12):2818-2823.

Lee E W , Grant J D , Loh C , et al. Is PICC Line Placement a Huge Risk for Upper Extremity Deep Vein Thrombosis?: Evaluation of 6,200 PICC Lines Placed in 4 Years at a Single Institution[C]// Radiological Society of North America 2007 Scientific Assembly and Annual Meeting. 2007.

Lin Y , Zeng Z , Lin R , et al. The Caprini thrombosis risk model predicts the risk of PICC-related upper extremity venous thrombosis in cancer patients[J]. Journal of Vascular Surgery Venous and Lymphatic Disorders, 2020.