From Patient Safety Solutions: http://www.patientsafetysolutions.com/docs/January_21_2014_The_PICC_Myth.htm
PICC lines (peripherally inserted central catheter) are often seen as a lower risk alternative to central lines for patients with difficulty iv access, however this is a myth and piccs are not without risk including:
- Higher risk of upper extremity dvt (2.55 or and account for 35% of all ue dvt)
- Similar risk of infection! Meta analysis and systematic reviews show no sig diff in clabsi!
- Other complications include thrombophlebitis,and dysfx and malpositioning greater for PICC than central line
These concerns prompted the ABIM choosing wisely campaign to include piccs on their list of treatments to question:
So next time someone recommends a PICC over a central line, think about the indications and necessity!