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Influence of arm movement on central tip location of peripherally inserted central catheters (PICCs)

Bairbre Connolly1, Joao Amaral, Sharon Walsh

  • 1Image Guided Therapy, Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, 555 University Ave., Toronto, ON, M5G 1X8, Canada. bairbre.connolly@sickkids.ca

Pediatric Radiology
|June 8, 2006
PubMed

Insights

Arm position significantly impacts the location of Peripherally Inserted Central Catheter (PICC) tips in children. Movements like elbow bending and arm adduction can cause PICC tips to shift deeper into the chest.

Area of Science:

  • Pediatric medicine
  • Vascular access devices
  • Medical imaging

Background:

  • Peripherally Inserted Central Catheters (PICCs) are common in pediatric care.
  • PICC tip location is critical for patient safety and efficacy.
  • Unintended movement of PICC tips can lead to complications.

Purpose of the Study:

  • To investigate how arm movement affects the central tip position of PICCs in children.
  • To identify factors influencing PICC tip migration.

Main Methods:

  • Studied PICC tip location in 85 children across six arm positions.
  • Analyzed variables including side, vein, insertion site, and arm position.
  • Measured the direction and range of tip movement.

Main Results:

  • Arm position significantly influenced PICC tip location, with an average movement of 2.2 rib spaces.
  • Elbow bending and arm adduction caused the tip to move deeper into the chest.
  • PICC side, vein, or insertion site did not significantly affect tip movement range.

Conclusions:

  • Arm position is the primary factor affecting PICC tip movement in children.
  • PICC migration is more pronounced with arm adduction and elbow flexion.
  • Understanding these movements is crucial for safe PICC management in pediatric patients.
Abstract

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