Skip to Content

Picc (Peripherally Inserted Central Catheter) in Children

WHAT YOU NEED TO KNOW:

A PICC is a catheter (small tube) used to give treatments and to take blood. The catheter is usually inserted into an arm vein. In infants, a leg vein may be used. These arm and leg veins are called peripheral veins. The catheter is guided through the peripheral vein into a central vein near your child's heart.

DISCHARGE INSTRUCTIONS:

Call your local emergency number (911 in the US) for any of the following:

  • Your child feels pain in his or her arm, neck, shoulder, or chest.
  • Your child coughs up blood.

Seek care immediately if:

  • The catheter site turns cold, changes color, or your child cannot feel it.
  • You see blood on your child's dressing and the amount is increasing.
  • The veins in your child's neck or chest bulge.

Call your child's doctor if:

  • You see signs of infection, such as redness, swelling, or pus, or your child has a fever.
  • The catheter site is red, warm, painful, or oozing fluid.
  • You see blisters on the skin near the catheter site.
  • You cannot flush the catheter, or your child feels pain when the catheter is flushed.
  • You see that the catheter is getting shorter, or it falls out. Put pressure on the site with a clean towel before you call your child's doctor.
  • You see a hole or a crack in your child's catheter. Clamp the catheter above the damage before you call your child's doctor.
  • You have questions or concerns about your child's catheter.

Medicines:

  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him or her. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
  • Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Care for your child:

  • Help your child rest when he or she gets home. Your child should be able to go back to his or her normal activities the next day. Your child's healthcare provider will tell you which activities are okay for him or her. Do not let your child play sports until his or her healthcare provider says it is okay.
  • Apply a warm compress as directed. The area where the catheter was inserted may feel sore. A warm compress can help to decrease pain and swelling in your child's arm. Wet a small towel with warm water. Wring out the extra water. Wrap the cloth in plastic, and put it on the area. Use the compress 4 times a day, for 10 minutes each time. Prop your child's arm up on pillows when he or she is sitting or lying down. This will decrease swelling.
  • Follow instructions on how to care for the insertion site. Your child's provider will tell you when it is okay for him or her to shower or bathe. This is usually after about 1 week. Your child will need to keep the area covered so it stays dry when he or she bathes.

Prevent an infection:

The area around your child's catheter may get infected, or he or she may get an infection in his or her bloodstream. A bloodstream infection is called a central line-associated bloodstream infection (CLABSI). A CLABSI is caused by bacteria getting into your child's bloodstream through the catheter. This can lead to severe illness. The following are ways you can help prevent an infection:

  • Wash your hands and your child's hands often. Use soap or an alcohol-based hand rub. Clean your hands before and after you touch the catheter or the catheter site. Remind anyone who cares for your child's catheter to wash his or her hands. Teach your child not to handle or play with the PICC.
    Handwashing
  • Limit contact with the catheter. Do not touch or handle your child's catheter unless you need to care for it. Do not pull, push on, or move the catheter when you clean his or her skin or change the dressing. Wear clean medical gloves when you touch the catheter or change dressings.
  • Keep the area covered and dry. Keep a sterile dressing over the catheter site. Wrap the insertion site with plastic and seal it with medical tape before your child bathes. Have your child take showers instead of baths. Do not let your child swim or soak in a hot tub.

Follow up with your child's doctor as directed:

Write down your questions so you remember to ask them during your visits.

© Copyright IBM Corporation 2021 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 IBM Watson Health

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.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.