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Articles linked to this work by shared authors, journal, and citation graph.

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Same author

Reducing PICC migrations and improving patient outcomes.

British journal of nursing (Mark Allen Publishing)·2014
Same author

Periphally inserted central catheters-a 'serous' complication.

British journal of nursing (Mark Allen Publishing)·2013
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Related Experiment Video

Updated: May 4, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Periphally inserted central catheters- a 'serious' complication.

Meinir Elen Hughes

    British Journal of Nursing (Mark Allen Publishing)
    |December 19, 2013
    PubMed
    Summary

    Peripherally inserted central catheter (PICC) placement can cause lymph vessel puncture, leading to serous fluid discharge. This article proposes management strategies for this complication, focusing on discharge assessment and catheter removal when necessary.

    Area of Science:

    • Vascular Access Devices
    • Lymphatic System Complications

    Background:

    • Peripherally inserted central catheters (PICCs) are widely used for vascular access.
    • PICC placement in the upper arm is associated with an increased risk of inadvertent lymph vessel puncture.

    Purpose of the Study:

    • To describe the complication of lymph vessel puncture during PICC placement.
    • To propose management strategies for serous fluid discharge resulting from this complication.

    Main Methods:

    • Review of clinical observations regarding PICC-related lymph vessel puncture.
    • Development of a proposed management algorithm based on clinical assessment.

    Main Results:

    • PICC insertion in the upper arm can lead to lymph vessel puncture, causing serous fluid discharge at the exit site.

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  • The volume and persistence of discharge vary, with no current standardized management guidelines.

    • Conclusions:

    • Serous fluid discharge is a potential complication of upper arm PICC placement due to lymph vessel injury.
    • Management should involve assessing discharge amount and persistence, with PICC removal considered for persistent or excessive fluid leakage.