Peripherally Inserted Central Catheters And Midline Catheters Child

What you should know

  • A catheter is a small tube used to give treatments and to take blood. The catheter is guided into place through a peripheral vein in your child's upper arm. Peripheral veins lead from your child's arms and legs to his heart. A peripherally inserted central catheter (PICC) is guided into a vein near the heart. A midline catheter is guided into a vein below the armpit.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

Risks

  • One or more attempts may be needed to place the catheter. The vein where your child's catheter is placed may become irritated, and his skin may get red, painful, and blister. When the catheter is put in, your chid's vein may tear, or the catheter may injure a nerve. Your child's catheter may get blocked, and caregivers may need to remove or replace it.

  • The catheter may break, bend, or move out of place. The IV medicine may leak outside your child's vein and cause pain, swelling, or blisters. Your child can have bleeding, an allergy to heparin, or heparin-induced thrombocytopenia (HIT). HIT is a low number of blood platelets, which increases the risk of bleeding. Your child may get a blood clot in his arm. This can cause pain and swelling, and can stop blood from flowing where it needs to go in your child's body. The blood clot may break loose and travel to your child's lungs or brain. A blood clot in your child's lungs can cause chest pain and trouble breathing. A blood clot in your child's brain can cause a stroke. These problems can be life-threatening.

  • If your child does not have a catheter placed, he may need to get multiple needle sticks. It may be hard for caregivers to give your child the treatment that he needs. Your child's condition may get worse, or he may die. Contact your child's caregiver if you are worried or have questions about having a catheter placed.

Getting Ready

Before your child's procedure:

  • Tell caregivers if your child is allergic to latex or has any other allergies.

  • Your child may need to have an ultrasound to find his veins and to make sure the veins are healthy enough for a catheter. Caregivers may order other tests. Write down the date, time, and location of each test.

The day of your child's procedure:

  • Write down the correct date, time, and location of your child's procedure.

  • Ask your child's caregiver before you give your child any medicine on the day of his procedure. Bring a list of your child's medicines or the medicine bottles when you take your child to see his caregiver. Tell caregivers if your child takes herbs, food supplements, or over-the-counter medicine.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery on your child. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

Treatment

  • A band may be tightened around your child's arm. This helps caregivers see his veins. The band also stops blood from flowing into the vein while caregivers place the catheter. Your child's caregiver may give him local anesthetic (numbing medicine) in the area where his catheter will be placed.

  • Your child's caregiver will put a needle through your child's skin and into his vein. If you child needs a PICC, it will be threaded until it ends in the larger vein near his heart. If your child needs a midline catheter, it will be inserted and threaded to a vein in his armpit. Have your older child tell his caregiver if he feels pain or tingling while the catheter is being placed. Tell your younger child's caregiver if it looks like your child is in pain.

  • The needle and sheath (covering) will be removed, and the catheter will be left in the vein. Caregivers may secure the catheter to your child's skin with tape or stitches. A new bandage will be placed over the area to keep it clean and to help prevent infection.

After your child's procedure:

If your child has a PICC, a chest x-ray will be done to show caregivers the location of the catheter tip

Contact a caregiver if

  • Your child gets sick with a cold or flu, or he has a fever.

  • Your child cannot make it to the procedure on time.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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