Can anyone tell me the most recommended way to flush a PICC line? Do we have to use a 10 cc syringe or the smallest possible like a 1 cc tuberculin syringe. As what was recommended by our Interventional Radiologist to flush the PICC line with the smallest syringe specifically 1cc or 3 cc syringe with normal saline. But it's contradicting with what is normally read in written notes about care of PICC line, to flush using a 10 cc syringe. I've noticed too that PICC line easily clots. Do we have to flush them with heparin everytime when not in use too? Does anybody has any idea?
Aug 8, '07
from bard's website:
answer: it is recommended that a 10 cc syringe or larger be used to infuse or flush catheters. this includes pediatric and neonatal catheters. infusion pressures should never exceed 25 psi because pressures higher than that may damage blood vessels and viscus. a two-pound weight equivalent force on the barrel of a 3 cc syringe generates pressure in excess of 25 psi. the same two-pound weight equivalent force on the barrel of a 10 cc syringe generates less then 8 psi of pressure. please refer to the instructions for use (ifu) (ifu) for further details.
most piccs come with the 25psi pressure restrictions.
i believe the power injectable piccs can withstand higher pressure, but all i can find is that the bard power picc can withstand a power injector injecting contrast at 5cc/sec.
from the boston scientific website:
. do not use the catheter for high-pressure injections, i.e., diagnostic procedures. ensure that the pressure alarm feature of infusion pumps used on the catheter does not exceed a maximum of 40 psi. (206 cm hg). do not use small diameter syringes (less than 10 cc) for injection as they can create very high pressures, which may result in catheter rupture.
Last edit by CritterLover on Aug 8, '07
: Reason: more quotes