![]() ![]() This will help prevent occlusion whilst awaiting an X-ray. The line should be flushed with 0.9% sodium chloride for injection prior to placement and the clamp closed.Use the drapes to cover the infant from head to toe.A gown and sterile gloves must be worn and a surgical (hernia) towel used Full aseptic precautions must be observed.PICC line placement should be performed, or directly supervised, by an operator experienced in their insertion saphenous vein) should not be used for peripheral cannulation and venesection in the first few days to leave them available for this purpose. * Where possible veins suitable for PICC lines (e.g. PICC lines may easily become colonised with micro-organisms which may then prove difficult to eradicate whilst the line remains in situ. If the infant is known, or strongly suspected to be septic, it may be wise to delay the placement of a PICC line until the sepsis is under control.Consider platelet transfusion before the line is placed, particularly if the Platelet count is It is appropriate to correct any significant coagulopathy before commencing the procedure however there is no requirement to routinely check FBC and coagulation profile if there is no evidence of a bleeding tendency.If perfusion is poor it may be necessary to correct this prior to line insertion.Lower limbs: Measure from the entry site to the umbilicus.Upper limbs/ head & neck: Measure from the likely entry point to the supra-sternal notch.Examine the infant to identify a suitable vein (See Fig.1).They should be informed about the reasons for insertion and given information about the potential hazards (see below), noting that the PICC line is necessary for optimal clinical care. Unless urgent access is required when the parents are unavailable, the parents should be informed about the procedure prior to placing a PICC line. ![]()
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