Peripherally Inserted Central Catheter (PICC)

A PICC is a temporary tube that takes the place of an IV (intravenous) line. It is often used when medication or nutrition need to be given over a period of weeks or even months.

Why Is a PICC Needed?

A PICC may be the best choice because it:

• Can stay in place longer than an IV, reducing the the number of needle sticks during the course of treatment.

• Reduces damage to small veins, where an IV would normally be inserted.

• May have more than one channel, so that different fluids or medications can be given at the same time.

Before the Procedure

Follow any instructions you are given on how to prepare, including:

• Tell the technologist what medications, herbs, or supplements you take; if you are, or may be, pregnant; or if you are allergic to any medications or substances.

During the Procedure

• You will change into a hospital gown and lie on an x-ray table.

• An IV may be started to give you fluids and medications. You may be given medication through the IV to help you relax.

• An area on the inside of the upper arm is cleaned. A local anesthetic is injected into this area. A needle is then put through the skin into a vein. Ultrasound images of the needle are viewed on a video monitor.

• A guide wire is moved along the vein to one of the large central veins in the chest.

• A catheter (thin, flexible tube) is threaded over the guide wire to the central vein. The guide wire is then removed.

• The outside end of the catheter is taped or sutured into place to the inside of the arm.

• A chest x-ray may be done to make sure the catheter is in the correct position.

After the Procedure

• Care for the catheter site as directed.