Peripherally Inserted Central Catheter
This special intravenous line can be chosen to access a vein for
chemotherapy and blood samples

About a PICC

The PICC line is an intravenous catheter generally measuring 40 - 60 cm. It is a small flexile tube or "straw" through which the fluids or medications flow. It can prevent the irritation and injury often associated with administration of certain chemotherapy drugs.

Once inserted, the PICC line is kept in place (not removed) thus, eliminating the need to have an intravenous started for each blood sample and chemotherapy treatment. The PICC, therefore provides the easiest method of treatment for chemotherapy drugs which are classified as vesicants.

The Procedure

A topical anesthetic or "freezing" cream is applied to the skin in the bend of your elbow. This remains on the skin for 1-2 hours. It will numb the area and help reduce the pain you will feel from the insertion of the needle. You may also be offered a mild sedative (Ativan) to help you relax and make the experience as easy as possible.

The tube is inserted in the right or left arm and the line is threaded in the vein and follows its route up the arm. The tip of the PICC line will sit in the largest vessel of the body, the Superior Vena Cava (at the top of your heart.) Achest X-ray taken after the procedure will confirm the position of the PICC line.

The insertion process takes approximately 45 - 90 mins. but most of this time is required to set up the sterile tray and prepare the supplies. You will lie on a bed or stretcher during the procedure.

Who Does It

The PICC line is inserted by an R.N. - I. V. Therapist specially trained in this skill. When considering the insertion of a PICC line, the physician, a member of the I.V. Team or Chemotherapy nurse will discuss with you the procedure, its advantages and answer any questions you may have. We require an order from the physician and from you, a written consent.

Care At Home

A PICC line can be managed by the IV team nurse, the nurse administering your chemotherapy or a Home Agency nurse in the community. Dressings are changed 24 hours after initial insertion then once a week or more often if the dressing loosens. If the PICC line is not in use it is flushed once a week with 10 mls. of saline solution.

The PICC line dressing CAN NOT be wet. The site can be wrapped in plastic in order to shower but soaking in the bathtub or swimming is restricted. There are only a few physical activities that are restricted. (constant repetitive bending of the elbow - i.e. rowing machines.)

For further information call:
Brant Community Cancer Clinic
751-5585