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Vascular access: PICC line insertion
Category: Minor Procedures, Injections & Pain Relief · All minor procedures, injections & pain relief
What it is
A PICC (peripherally inserted central catheter) is a long, thin tube inserted through a vein in the upper arm and advanced so its tip sits in a large vein near the heart. It provides reliable access for weeks to months of intravenous antibiotics, chemotherapy, fluids or nutrition.
Why it is done
It is used when treatment needs a stable vein for weeks (for example a long antibiotic course at home), when peripheral veins are hard to access, or when medicines would irritate small veins.
How to prepare
You will have blood tests (including clotting) and a check of arm veins by ultrasound. Tell the team about blood thinners, allergies and any history of vein clots in that arm. No fasting is needed; a small dose of sedative is occasionally offered.
What happens during the procedure
After numbing the skin, the line is inserted under ultrasound guidance and advanced; its position is confirmed by X-ray or ECG-tip location system. A dressing and a securement device hold it in place, and a chest X-ray may be taken. It takes about 30 to 45 minutes.
Afterwards — recovery & results
The line is flushed and dressed weekly by trained nurses (community or hospital). You can shower with a waterproof cover; swimming and heavy arm exercise are avoided. Tell your team at once about pain, swelling of the arm, fever, or the line moving or leaking — infection and clots are the main complications.
Risks & considerations
Risks include infection (line infections can be serious), blood clots in the arm veins, blockage (managed with a clot-dissolving flush), and accidental removal or damage. When treatment ends, the line is pulled out easily in a few seconds and a dressing applied.
Related guides on MedicalVideos.com
Frequently asked questions
Why a PICC instead of a normal drip?
A normal cannula lasts days and irritates veins with repeated use; a PICC lasts weeks to months with one insertion, and its tip in a large vein is safer for strong medicines.
Can I work and exercise with a PICC?
Most desk work and light activity are fine; avoid heavy lifting, swimming and contact sport with that arm. Your team will give specific limits.
Related procedures — Minor Procedures, Injections & Pain Relief
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