Peripherally Inserted Central Catheter (PICC) Line
When your child needs fluids, medications or nutrition on a regular basis, a PICC line is a less invasive alternative to intravenous (IV) methods.
What is a PICC line?
A peripherally inserted central catheter, a PICC line, is a long, thin tube that’s guided through a vein in your child’s arm. It’s used to deliver medications, fluids or nutrition over a longer period of time. It can also be used to obtain blood samples. PICC lines are often used in hospitals or at home for people who need ongoing treatments like antibiotics, chemotherapy or special nutrition.
What to Expect When Getting a PICC Line
Your child’s health care provider will place the PICC line in a vein in their upper arm. They’ll use a small needle to insert the catheter and guide it gently toward their heart. This is done in a clean and sterile room, like a hospital or clinic. To make sure the PICC line goes in the right place, your child’s provider may use an X-ray or ultrasound.
Are you awake during insertion?
It depends on your child’s comfort. We can provide medications for your child to relax or even sleep, if that is what is best for them. We’ll work together with you and your child to assess their comfort level.
The procedure is relatively quick. Many children only feel light pressure or a sensation of movement as the catheter is inserted.
Does placement hurt?
Your child might feel a slight sting or discomfort when their peripherally inserted central catheter is inserted, but it’s generally not painful. Once the local anesthesia takes effect, your child shouldn’t feel much.
After placement, some children experience minor soreness where the PICC line is inserted. This usually goes away within a few days. If your child experiences significant pain, contact their provider.
What’s the difference between a PICC line and a midline?
A PICC line and a midline are both types of central venous catheters, but a PICC line is longer and threaded into a vein near the heart. It is used often for long-term treatments and to deliver medication. A midline catheter is shorter and inserted into a vein in the upper arm, but it doesn’t reach the heart. Midlines are typically used for short-term treatments.
Understanding Possible Complications
While PICC lines are generally safe, there are potential complications to be aware of, such as:
- Blood clots: A clot may form in the vein where the PICC line is inserted, which can cause pain or swelling.
- Infection: Bacteria can enter through the catheter, leading to infection. Proper care and hygiene help lower this risk.
- Line dislodgement: The PICC line can shift out of place, potentially affecting treatment.
- Vein irritation: Some irritation or discomfort around the insertion site is common but should be monitored.
If your child experiences any unusual symptoms such as redness, swelling or pain at the site, contact their provider.
How long can a PICC line stay in?
A PICC line can stay in place for weeks to months, depending on your child’s treatment needs. If they’re receiving long-term care, their doctor will monitor the line regularly for signs of infection or complications. The line may need to be replaced if any issues arise or removed if the treatment is completed. Your child’s health care team will talk to you about when and how often to check the line.
Can you shower with a PICC line?
Yes, your child can shower with a PICC line. However, you need to take extra precautions to keep the line dry and prevent infection.
You may cover the insertion site with a waterproof dressing or bandage to protect it while they shower. Avoid getting the insertion site completely wet. Following your child’s provider’s suggestions can help lower the risk of infection.