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For the implantation of a PICC, the choice of side and vein represent an important step for an effective procedure that can reduce the risk of complications.
As also highlighted in the second point of the SIP protocol (which we talked about in this article), the ultrasound exploration of all the veins of the arms and neck is a step to always keep in mind.
A thorough ultrasound exploration of both arms, therefore, is critical to determining the most appropriate position for catheter insertion. Let's see, below, some information about the RaPeVA (Rapid Peripheral Vein Assessment) protocol.
RaPeVA is a defined and systematic protocol for the examination of arm veins and the supraclavicular/subclavicular area, useful for choosing the side, vein and level, before PICC implantation.
The use of ultrasound allows evaluation of the optimal venipuncture site by assessing caliber and collapsibility, depth, patency and anatomic relationships with sensitive structures.
The rapid bilateral ultrasound assessment of the peripheral vascular heritage (RaPeVA) must therefore consider:
For further details, with the use of images, see the presentation RaPeVA and PICC implantation, by Mauro Pittiruti.
The PICC range made by Delta Med is designed to meet the highest standards of quality and safety, both for the patient and the healthcare professional.
Made of latest generation polyurethane, all catheters are available
Delta Med PICCs allow to reduce primary and secondary complications, ensuring infusion with high-pressure therapies (300 PSI) for long periods, high biocompatibility and biostability.
The composition with ECG cable and device is also available in all sets.
Do you want to have more details on the characteristics of our PICCs and on the possible configurations? Contact us today to get all the information you need from one of our professionals.
- Alexandrou E. (2019) Right Assessment and Vein Selection. In: Moureau N. (eds) Vessel Health and Preservation: The Right Approach for Vascular Access. Springer, Cham
- Buone pratiche cliniche SIAARTI - Accessi Vascolari