The Application of Neck Ultrasound in the Assessment of Peripherally Inserted Central Catheter (PICC) Tip Position

A Randomized, Controlled Trial Evaluating Post-Insertion Neck Ultrasound in Peripherally Inserted Central Catheter Procedures

Insertion of peripherally inserted central catheters (PICCs) at the bedside may result in tip malposition. This study was designed to evaluate whether the addition of ultrasound (US) inspection of the ipsilateral neck provides immediate recognition of PICCs in aberrant position facilitating catheter reposition prior to completion of the procedure.

Inclusion Criteria:

• Adult patients (> 18 years old) ordered for a peripherally inserted central catheter insertion

Exclusion Criteria:

• patients unable to provide informed consent
• previous peripheral inserted central catheter placement at the institution