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"Based on evidence, we successfully placed a peripherally inserted central catheter through the popliteal vein under ultrasound while the patient was in the prone position and avoided associated complications" Shi et al (2024).

PICC placement in a patient with severe burns

Abstract:

Peripherally inserted central catheters are widely used in patients with extensive burns, with the guidelines recommending insertion through unburned skin. This case report describes a patient who was burned over 88% of their surface area and suffered severe inhalation injury. For him, the popliteal vein was the only vein on unburned skin available for catheter catheterization. Based on evidence, we successfully placed a peripherally inserted central catheter through the popliteal vein under ultrasound while the patient was in the prone position and avoided associated complications.


Reference:

Shi L, Chen Q, Yang R, Liao L, Zhang J, Liu Y. Challenges of PICC placement via the popliteal vein under ultrasound guidance in a patient with severe burns: A case report. J Vasc Access. 2024 Apr 6:11297298241245066. doi: 10.1177/11297298241245066. Epub ahead of print. PMID: 38581270.