Published on March 17, 2014
Khaled Bahaaeldin Professor of Pediatric surgery KasrAlAiny school of medicine, Cairo University 3/17/2014
When resources become skimpy, human beings don't suddenly cooperate to conserve what's left. They fight to the last scrap for possession of a diminishing resource. Deepak Chopra K.H. Bahaaeldin3/17/2014 2
Peripheral Vs Central Peripheral Central Basic skill level Initially more available Short life span Low mixing blood volume Low potential for grave complications Sepsis is function of number & time Skilled procedure Limited routes Potentially indefinite use High mixing blood volume Relatively graver/life risking complications Sepsis is function of time K.H. Bahaaeldin3/17/2014 3
PICC line It possibly offers the best of both worlds. However there is always a price to pay for any compromise! Basic skill level Peripheral Vein cannulation. Central placement At the Junction of either the Superior or Inferior Venae Cava with the right atrium. Potentially indefinite placement Lower Risk and Gravity of complications. Remember it’s still a central venous access! Cost! Restriction on infusate (only for small Preemie caliber 1Fr) More care demanding than both! Place it before it’s too late! K.H. Bahaaeldin3/17/2014 4
I had four wise friends They taught me all I knew Their names were: when, how, where and who K.H. Bahaaeldin3/17/2014 5
PICC line Who; any preemie or neonate requiring admission >7 days Where; theoretically any peripheral vein will end up in superior or inferior vena cava How; Asepsis, cannulation skill, gently, patiently and confirm tip placement. When; Make the decision early! Available peripheral veins. Every puncture = potential sepsis Spare peripheral veins K.H. Bahaaeldin3/17/2014 6
K.H. Bahaaeldin3/17/2014 7
K.H. Bahaaeldin3/17/2014 8
K.H. Bahaaeldin3/17/2014 9
Thank you for your time K.H. Bahaaeldin3/17/2014 10
Calcification Inhibitors in CKD and Dialysis Patients
Short presentation on percutaneously inserted central catheter PICC in premature babies (preemies) and neonates.
Peripherally inserted central catheter ... 4/21/11 Background and General Information Percutaneously placed, central ... A Central Line Removal ...
Peripherally inserted central catheter ... A peripherally inserted central catheter (PICC or PIC line), ... (percutaneously) ...
Hughes JA, Cantwell CP, Waybill PN. Peripherally inserted central catheters and nontunneled central venous catheters. In: Mauro MA, Murphy KPJ, ...
Managing Your Non-Tunneled (Percutaneous) Catheter: PICC, ... (peripherally inserted central ... line, about 20 to 24 inches long. The
Central Venous Catheters. ... List indications for use of noncuffed percutaneously inserted central venous ... Whenever a new line is inserted, ...
... Medical Dictionary? percutaneous catheter ... of central percutaneous catheter ... central percutaneous catheter peripherally inserted, ...
Peripherally inserted central catheters: ... A nurse led peripherally inserted central catheter line insertion service is effective with radiological support.
Peripherally Inserted Central Catheters ... artery catheter and while pulling gently on the line, the catheter separated below the suture close to umbilical