Intravenous literature: anonymous (2011) Breakage of a PICC line. AORN Journal. 93(3), p.318, 370.
“A premature infant born at 27 weeksâ€™ gestation re- quired a standard 1.9-Fr percutaneously inserted central venous catheter (PICC) for parenteral nutrition. The PICC team inserted the PICC under sterile conditions and verified placement with an x-ray. After 40 days of parenteral therapy, the infantâ€™s antecubital site and up- per arm became red, swollen, and tender to the touch. The neonatologist opted to remove the catheter. When the RN started to remove the PICC, it broke, leaving approximately 7 cm in the patient. After the neonatolo- gist made several unsuccessful attempts to retrieve the remainder of the line, the infant underwent surgical removal of the catheter. Cultures taken via blood and PICC showed moderate growth of Staphylococcus. The infant required an increased level of care that included ventilator support, infusion of blood products, and anti- biotic treatment.”