Two Cases of Application of PICC in Infants through Lower Limb and Literature Review

Danping Zhu1, Yongzhi Lin2, Liling Wang2, Mingjiang Zhu3,4# and Xiaoxiao Ruan5*#

1Department of Intensive Care, Taizhou Central Hospital (Taizhou University Hospital), PR China 2Department of Pediatric Surgery, Taizhou Central Hospital (Taizhou University Hospital), PR China 3Laboratory of Lipid Metabolism in Human Nutrition and Related Diseases, Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, China 4Key Laboratory of Nutrition and Metabolism, Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, China 5Day-Time Ward of Taizhou Central Hospital (Taizhou University Hospital), PR China #These authors equally contributed to this work

^*Correspondance to: Xiaoxiao Ruan 

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Abstract:

PICC is difficult and has many side factors. The aim of this paper is to report two infant cases of application PICC through lower extremity insertion sites. It is important for infants with lower extremity. Peripherally Inserted Central Catheters (PICC) are being increasingly used in critical care setting. However, PICCs are associated with a number of complications, particularly Upper Extremity Venous Thrombosis (UEVT), leading to post-thrombotic syndrome, pulmonary embolism and increased risk of catheter-related infection. To review the literature surrounding PICCs and highlight the epidemiology, pathophysiology, diagnosis and management of PICCrelated thrombosis in critically ill patients. We performed an electronic literature search of the databases PubMed, EMBASE and Google scholar using set search terms, from their commencement date to the end of January 2014. Our patient presented with lower extremity weakness and imaging confirmed the presence of air within the spinal canal. After conservative treatment, the strength deficit resolved and subsequent imaging revealed resolution of the air within the spinal canal. Decision to insert a PICC should be taken after careful risk stratification. There is lack of highquality evidence assessing prevention strategies and management of PICC-related thrombosis in the ICU. Well-designed RCTs are required to estimate the prevalence of UEVT in ICU patients with PICCs and evaluate the efficacy and magnitude of clinical benefit and cost-effectiveness of therapeutic.

Keywords:

PICC; Lower limb; Infant

Cite the Article:

Zhu D, Lin Y, Wang L, Zhu M, Ruan X. Two Cases of Application of PICC in Infants through Lower Limb and Literature Review. Ann Clin Case Rep. 2022; 7: 2093..