Read this information so that we can be sure you understand the procedure and its risks. Please ask questions about anything you do not understand.
A PICC line is a thin, soft, long catheter (tube) that is inserted into a vein in the arm, leg or neck. The tip of the catheter is positioned in a large vein that carries blood into the heart. The PICC line is used for long-term intravenous (IV) antbiotics, nutrition or medications, and for blood draws.
First we will perform an ultrasound to evaluate the access vein. Then an interventional radiologist or nurse will insert the PICC line, using live X-ray (fluoroscopy) to assist with proper location. (Your child will be protected by an X-ray shield.)
Younger patients are usually given IV sedation so they aren't awake during the procedure. If the child is older or has medical problems that prevent us from giving IV sedation, we will use only local numbing medicine.
If your child is awake, he or she will feel a small needle prick when we inject the local numbing medicine.
Approximately 30-60 minutes.
The procedure is considered low-risk. However, potential complications include:
If properly cared for, a PICC line can stay in for weeks to months.
We will place gauze and a clear bandage, which must remain dry at all times while the PICC line is in place. Approximately two days after the PICC line is placed, a nurse at the hospital or a home-care nurse will perform the first bandage change. After this, it is OK to shower as long as the PICC line is covered with a water-resistant bandage. We will teach you how to make a water-resistant bandage.
You may also sponge-bathe your child, as long as you keep the PICC site dry at all times.
Your child will be able to resume most activities, including day care or school. Your child should be discouraged from activities, such as football and rough playing, which may result in a pull to the PICC line and lead to damage or loss of the catheter. If you have questions about which activities are OK, please ask your doctor.