A Peripherally Inserted Central Catheter (PICC line) is a type of central line that is used to provide long-term intravenous (IV) access for patients who need medication, fluids, blood, or nutrition. It is a long, thin, flexible tube that is inserted through the skin, into a vein in the arm, and passed through to the larger veins near the heart. The other end of the PICC line stays outside of the body, usually where the arm bends, and it may divide into more than one line. A PICC line is thicker and more durable than a regular IV, and it can stay in place longer (up to 3 months and sometimes a bit more) . It is used instead of a regular IV line because it lowers the number of needle sticks a patient needs for blood draws, and patients can get large amounts of fluids or medicines (like chemotherapy) that might not go through regular IVs.

PICC lines are inserted by a specially trained registered nurse or another provider using an ultrasound machine to locate a vein. Lidocaine may be used to minimize the slight discomfort of the procedure. Unlike an IV catheter, which may be reinserted for each treatment session, a PICC can remain in place for short-term treatment (a few weeks) or long-term treatment (months to a year or more). When it is no longer needed, the PICC can be removed by a registered nurse.

Some advantages of a PICC line over an IV catheter include:

• A PICC can remain in place for a long period, typically two to six weeks, over which a course of medication such as antibiotics can be delivered.
• A PICC can help avoid the pain of frequent needle sticks and reduce the risk of irritation to the smaller veins in your arms.
• A PICC can be used for short intervals in a patient with difficult vein access.
• A PICC can also be used for delivering fluids and liquid nutrition.

If youre considering a PICC line, discuss the benefits and risks with your doctor.