•
Avoid placement or securement of the catheter where kinking may occur, to
minimize stress on the catheter, patency problems or patient discomfort.
•
Avoid sharp or acute angles during implantation which could compromise the
patency of the catheter lumen(s).
•
Do not suture around the catheter as sutures may damage the catheter or
compromise catheter patency.
•
Do not cut the stylet.
•
Do not use the device if there is any evidence of mechanical damage or leak-
ing. Damage to the catheter may lead to rupture, fragmentation and possible
embolism and surgical removal.
•
Accessories and components used in conjunction with this device should
incorporate luer lock connections.
•
If signs of extravasation exist, discontinue injections. Begin appropriate med-
ical intervention immediately.
•
Infusion pressure greater than 25 psi (172 kPa) may damage blood vessels
and viscus and is not recommended. DO NOT USE A SYRINGE SMALLER
THAN 10 ml.
Possible Complications
The potential exists for serious complications including the following:
•
Air Embolism
• Exit Site Infection
•
Phlebitis
•
Bleeding
• Exit Site Necrosis
•
Spontaneous Catheter
•
Brachial Plexus Injury
• Extravasation
Tip Malposition or Retraction
•
Cardiac Arrhythmia
• Fibrin Sheath Formation
•
Thromboembolism
•
Cardiac Tamponade
• Hematoma
•
Venous Thrombosis
•
Catheter Erosion
• Intolerance Reaction to
•
Ventricular Thrombosis
Through the Skin
Implanted Device
•
Vessel Erosion
•
Catheter Embolism
• Laceration of Vessels or
•
Risks Normally Associated with
•
Catheter Occlusion
Viscus
Local or General Anesthesia,
•
Catheter-related
• Myocardial Erosion
Surgery and Post Operative
Sepsis
• Perforation of Vessels
Recovery
•
Endocarditis
or Viscus
III. After placement, observe the following precautions to avoid
device damage and/or patient injury:
4
5
Insertion Instructions
1.
Identify the Vein and Insertion Site
• Apply a tourniquet above the anticipated
insertion site.
• Select a vein based on patient assessment.
Recommended veins are basilic, cephalic,
median cubital veins. The Poly Per-Q-Cath
*
catheter features a reverse-taper catheter design.
Caution: Placement of larger catheters at or
below antecubital fossa may result in an
increased incidence of phlebitis. Placement of
PICC above antecubital fossa is recommended.
• Release tourniquet.
2.
Patient Position / Catheter Measurement
• Position the arm at a 90° angle.
• For SVC placement, measure from the
planned insertion site to the right clavicular
head, then down to the third intercostal
space. Use zero mark as reference for
point of insertion.
Note that the external measurement can
never exactly duplicate the internal venous
anatomy.
3.
Preflush the Catheter
•
Attach prefilled syringe to the luer attachment on the
extension set.
•
Preflush catheter with sterile normal saline or
heparinized saline to wet hydrophilic stylet.
•
Leave syringe attached
during procedure.
1
2
3
4
5
P
e
r-
Q
-C
a
th
*
Catheter
P
e
r-
Q
-C
a
th
*
Catheter
PICC