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PICC

A peripherally inserted central catheter (PICC line) is a form of intravenous access that can be used for a prolonged period of time (e.g. for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition).  Because the tip of the IV is positioned in a "central"vein, it can also be used for vesicant medications (pH <5 or >9), pressors and monitoring of central venous pressure.

Patient Identified as a Candidate for PICC


Midline

Is considered a "long-dwell" peripheral intravenous access device.  It is inserted into a larger vein in the arm.  The catheter is generally 8-10cm in length with the tip resting in the upper arm below the axillary line.  A larger arm vessel provides better drug hemodilution than the smaller vessels used for standard peripheral catheters.  The device has a longer dwell time which avoids repeated IV replacements.  Lab samples may also be obtained from a midline IV.  It may be used to administer any medication or therapy which does not require central access.


Ultrasound Guided Peripheral IV

Peripheral intravenous device (PIV)/catheters are the most commonly used intravenous device in hospitalized patients. They are primarily used for therapeutic purposes such as administration of medications, fluids and/or blood products.  Generally, Peripheral IV's have a dwell time < 96 hours, though emerging research recommends peripheral IV’s may dwell as long as there are no signs or symptoms of infection without adverse outcomes.


Central Line

A central venous catheter (CVC), also known as central line, central venous line or central venous access catheter, is a catheter placed into a large vein in the neck (internal jugular vein), chest(subclavian vein or axillary vein) or groin (femoral vein). It is used to administer medication or fluids, obtain blood tests (specifically the "central venous oxygen saturation"), and measure central venous pressure.

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