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What is a PICC?
PICC stands for peripherally inserted central catheter.
A PICC is a flexible tube about 50-60cm (20-24in) long. It is usually made of silicone or polyurethane.
The tube is inserted through one of the small veins near the elbow, so that the tip lies in the main vein in the chest.
Chemotherapy drugs are often given through a PICC. Once the PICC is in place, it can be left there throughout your treatment.
Each time you come for chemotherapy your nurse can give you the drugs through the PICC. This means that you don't need to have injections every time.
If your nurse needs to take blood samples, this can also be done through the PICC.
For some chemotherapy treatments the PICC is connected to a portable pump that delivers a controlled dose of drugs straight into the blood.
The PICC is usually set up by a specialist nurse. A needle, similar to the one used for setting up a drip, is put into the vein. Then the PICC is threaded very gently through the vein until it reaches the right spot in your chest - the main vein known as the superior vena cava.
Once this is done the nurse takes out the needle, leaving the PICC in place. S/he secures the PICC firmly with a waterproof dressing. Don't worry - it won't fall out. The dressing is changed each week, or whenever necessary.
The PICC stays in place throughout your chemotherapy treatment. Removing it is a simple process that takes only a few moments.
How should I care for my PICC?
To stop it getting blocked, the PICC needs to be flushed regularly with a saline (salt and water) solution.
Your nurse will explain how often this needs to happen. It will be after each chemotherapy treatment or pump change. If the PICC is not in use, flushing can be done once a week. This is usually carried out in the Oncology Suite.
The procedure is, however, very simple, and many patients and carers are happy to do it themselves. If you would like to try, your nurse will show you exactly what to do.
Apart from flushing the PICC, there are a few more guidelines you need to follow…
- You must take extra care when showering or bathing with a PICC. Your Clinical Nurse Specialist will give you advice on this.
- You must not go swimming.
- If you have pets, don't let them play with your line! When you handle your pets, make sure the line is covered. Wash your hands thoroughly afterwards.
- You may go to work if you are medically fit and your doctor is happy for you to do so… but you need to avoid heavy manual work or lifting.
- It is OK to drive if you are medically fit and your doctor is happy for you to do so.
- Sometimes, patients with a PICC get an infection where the tube goes into the skin. If you notice any redness, swelling or pain around the PICC, tell your doctor or nurse straight away. If you have an infection it needs to be treated promptly.
If you have any questions or concerns about your PICC please feel free to talk with your nurse, who will be delighted to help you.
