The role of peripherally inserted central catheters in the treatment of the critically-ill
Santolucito (2007) describes how technological advancements, which include triple lumen and high flow PICC’s are influencing the choice of vascular access device in critical care areas. The author also describes the influence of patient safety issues during PICC placement compared to what they describe as CICC (centrally inserted central catheters) placement. The author continues with a thorough review of post insertion central venous access device complications.Reference: Santolucito J.B. (2007) The role of peripherally inserted central catheters in the treatment of the critically ill. JAVA. 12(4), p.208-217
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comment from BSUH ITU Consultants about power PICCs
seems like a good idea, however, if a patient on ITU has an undiagnosed pyrexia and a PICC line in situ, we would take it out immediately as with any CVC. This as the manufacturers are unable to satisfy us that their line could not be the possible source of infection.
Therefore, this really has limited use for us with acutely unwell patients in ITU.
Thie is the same principle applies to anti microbial CVCs
There is room for PICCs in ITU for patients who are recovering and going to be discharged to wards for further IV Therapy.