Skip to main content

Power-injectable peripherally inserted central catheters in intensive care patients


In ICUs, peripherally inserted central catheters (PICCs) may be an alternative option to standard central venous catheters, particularly in patients with coagulation disorders or at high risk for infection. Some limits of PICCs (such as low flow rates) may be overcome by the use of power-injectable catheters.


We have retrospectively reviewed all of the power-injectable PICCs inserted in adult and pediatric patients in the ICU during a 12-month period, focusing on the rate of complications at insertion and during maintenance. All PICCs were inserted by specifically trained nurses, using ultrasound guidance and the microintroducer technique, according to a specific insertion protocol.


We have collected 89 power-injectable PICCs (65 in adults and 24 in children), 4 to 6 Fr, both multiple and single lumen. All insertions were successful. There were no major complications at insertion and no episodes of local infection or catheter-related bloodstream infection. Noninfective complications during management were not clinically relevant. There was one episode of symptomatic thrombosis during the stay in the ICU and one episode after transfer of the patient on a nonintensive ward.


Power-injectable PICCs have many advantages in the ICU: they can be used as multipurpose central lines for any type of infusion including high-flow infusion, for hemodynamic monitoring, and for high-pressure injection of contrast media during radiological procedures. Their insertion is successful in 100% of cases and is not associated with significant risks, even in patients with coagulation disorders. Their maintenance is associated with an extremely low rate of infective and noninfective complications.

Author information

Authors and Affiliations


Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and Permissions

About this article

Cite this article

Annetta, M., Marano, C., Brutti, A. et al. Power-injectable peripherally inserted central catheters in intensive care patients. Crit Care 16 (Suppl 1), P209 (2012).

Download citation

  • Published:

  • DOI:


  • Catheter
  • Central Venous Catheter
  • Venous Catheter
  • Bloodstream Infection
  • Ultrasound Guidance