PICC Removal, Adult

Introduction

A Peripherally Inserted Central Catheter (PICC) is an essential tool for administering medications and fluids into the bloodstream. However, there comes a point when a PICC is no longer needed, is causing infection, or is malfunctioning. In such cases, the PICC needs to be removed. This process is typically painless and should only be performed by a trained healthcare provider. Attempting to remove a PICC on your own is strongly discouraged.

PICC Removal Procedure

Here is what you should know about the PICC removal procedure:

1. Pre-Procedure Preparation:

• Consult your healthcare team and obtain an order from your healthcare provider for the PICC removal.
• Adhere to instructions provided by your healthcare provider, including any restrictions on eating or drinking.
• Discuss your medications, allergies, bleeding tendencies, and medical history with your healthcare provider.

2. During the Procedure:

• You’ll be positioned lying down, with your head possibly slightly lower than your heart. Staying still is advised.
• The dressing covering your PICC insertion site will be removed.
• The exit site (where the PICC leaves your body) will be cleansed using an antibacterial solution.
• A sterile gauze pad will be placed over the exit site.
• The healthcare provider will gently and steadily remove the PICC. You might be asked to exhale or hold your breath during this process.
• After the PICC is extracted, gentle pressure will be applied to the exit site for around 5 minutes.
• An antibiotic or petroleum-based ointment will be applied to the exit site.
• The exit site will be secured with an airtight (occlusive) sterile dressing or another appropriate type.

3. After the Procedure:

• You may need to remain lying down for a certain period.
• Monitoring will ensure that no blood or fluid is draining from the exit site and that there are no signs of an air embolism.

Summary

• PICCs are removed when they are no longer needed, cause infection, or experience malfunction.
• Only trained healthcare providers should perform PICC removal. Self-removal is strongly discouraged.
• While generally safe, potential risks include bleeding, infection, or the formation of air bubbles (air embolism).
• After the procedure, you’ll be monitored to confirm that there is no drainage from the site and to check for signs of an air embolism.

This information is meant to complement advice from your healthcare provider and should be discussed if you have any questions or concerns.