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Patients in
Sub-Acute Facility with PICC Lines
A wide range of patients
undergo PICC placements in sub-acute care for a variety
of reasons such as when intravenous therapy is required
for 7 days or more. As the popularity of subclavian
catheters inserted into the neck area have decreased
recently, PICC lines are used more than ever before.
Sub-acute care is intended
to be a short-term path to recovery, and a common reason
for PICC placement is for the use of parenteral feeding
through total parenteral nutrition (TPN). This may be
necessary for a variety of conditions when oral, or
enteral, feedings might be impossible, but necessary
for short periods of time such as with peritonitis or
intestinal obstruction. In recent years, the use of
TPN administered via a PICC line has significantly increased.
The second vital area
of PICC usage is for chemotherapy administration. Published
reports and literature have provided many benefits for
a PICC line use. But there are two major points that
need to be highlighted. Extravasations of chemotherapeutic
drugs outside the blood vessels can lead to major complications,
even deaths, and should administered only by experienced
practitioners. In many instances medical and legal costs
of such disasters can be significant.
Third, intravenous antibiotic
administration is another common area in a sub-acute
practice for PICCs for intensive treatment of viral,
bacterial and fungal infections. With a PICC line in
place, long term antibiotic treatment can even be completed
at home.
There are also other,
numerous sub-acute areas where the use of PICC has become
common. Some examples include acute nutritional failure
in anorexia nervosa or psychiatrically ill patients,
patients with severe dysphagia (inability to swallow),
waiting for a definitive surgical procedure, as well
as in trauma and burn victims after the acute phase
is over.
With its reduction in
risks and disadvantages in patients requiring a central
venous access or long term IV use, PICC lines can and
will be used for an even greater number of illnesses
and diseases in sub-acute or home based treatment.
The consumer health information
on this Website is for informational and educational
purposes only and is not a substitute for medical advice
or treatment for any medical conditions.
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