{"id":999,"date":"2021-03-09T13:29:10","date_gmt":"2021-03-09T19:29:10","guid":{"rendered":"http:\/\/bigdadoo.com\/journey\/2021\/03\/09\/todays-adventure-is-brought-to-you-by-the-letters-p-i-c-and-another-c-day-8\/"},"modified":"2021-03-09T13:29:10","modified_gmt":"2021-03-09T19:29:10","slug":"todays-adventure-is-brought-to-you-by-the-letters-p-i-c-and-another-c-day-8","status":"publish","type":"post","link":"https:\/\/bigdadoo.com\/journey\/2021\/03\/09\/todays-adventure-is-brought-to-you-by-the-letters-p-i-c-and-another-c-day-8\/","title":{"rendered":"Today\u2019s Adventure is brought to you by the letters P, I, C and another C.  Day -8"},"content":{"rendered":"\n<p>It\u2019s the day to get the <strong>P<\/strong>eripherally <strong>I<\/strong>nserted <strong>C<\/strong>entral <strong>C<\/strong>atheter, more commonly referred to as a <a rel=\"noreferrer noopener\" href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/picc-line\/about\/pac-20468748\" target=\"_blank\">PICC line<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"525\" height=\"665\" data-attachment-id=\"998\" data-permalink=\"https:\/\/bigdadoo.com\/journey\/2021\/03\/09\/todays-adventure-is-brought-to-you-by-the-letters-p-i-c-and-another-c-day-8\/img_0369-1\/\" data-orig-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?fit=2023%2C2560&amp;ssl=1\" data-orig-size=\"2023,2560\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;iPhone X&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1615285984&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;4&quot;,&quot;iso&quot;:&quot;25&quot;,&quot;shutter_speed&quot;:&quot;0.03030303030303&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"img_0369-1\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?fit=525%2C665&amp;ssl=1\" loading=\"lazy\" src=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-809x1024.jpg?resize=525%2C665\" alt=\"\" class=\"wp-image-998\" srcset=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?resize=809%2C1024&amp;ssl=1 809w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?resize=237%2C300&amp;ssl=1 237w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?resize=768%2C972&amp;ssl=1 768w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?resize=1214%2C1536&amp;ssl=1 1214w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?resize=1618%2C2048&amp;ssl=1 1618w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?w=2023&amp;ssl=1 2023w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0369-1-scaled.jpg?w=1050&amp;ssl=1 1050w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><figcaption>The Floroscope (real-time x-ray) System used to guide the process.<br>That\u2019s actually me!<\/figcaption><\/figure>\n\n\n\n<p>Once again things are quite streamlined. I\u2019m brought into the room with an OR like table with the above equipment at my head. I lay down and stick out my left arm. An ultrasound is used to visualize where the vein is and then the area is sterilized and draped.<\/p>\n\n\n\n<p>A local anaesthetic of Lidocane is administered and the insertion procedure begins. The tubing is inserted in the brachial vein of the left arm via a #<a rel=\"noreferrer noopener\" href=\"https:\/\/en.wikipedia.org\/wiki\/French_catheter_scale\" target=\"_blank\">5 French catheter<\/a> for a length of 48cm ending at the <a rel=\"noreferrer noopener\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cavoatrial_junction\" target=\"_blank\">Cavoatrial junction<\/a>. The double lumen line contains two separate openings through the same catheter so that two solutions or medications that are not compatible can be given simultaneously. <\/p>\n\n\n\n<p class=\"has-text-align-left\">To finish off the lines are flushed with heparin, a dressing is applied and a <a rel=\"noreferrer noopener\" href=\"https:\/\/www.bd.com\/en-us\/offerings\/capabilities\/vascular-access\/iv-care-and-maintenance\/iv-stabilization-devices\/statlock-picc-plus-stabilization-device\" target=\"_blank\">Statlock securement <\/a>device is applied. In the end it looks like this.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"200\" height=\"200\" data-attachment-id=\"997\" data-permalink=\"https:\/\/bigdadoo.com\/journey\/2021\/03\/09\/todays-adventure-is-brought-to-you-by-the-letters-p-i-c-and-another-c-day-8\/img_0049\/\" data-orig-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0049.jpg?fit=200%2C200&amp;ssl=1\" data-orig-size=\"200,200\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"img_0049\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0049.jpg?fit=200%2C200&amp;ssl=1\" loading=\"lazy\" src=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0049.jpg?resize=200%2C200\" alt=\"\" class=\"wp-image-997\" srcset=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0049.jpg?w=200&amp;ssl=1 200w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0049.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/03\/img_0049.jpg?resize=100%2C100&amp;ssl=1 100w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/figure><\/div>\n\n\n\n<p>In under 30 minutes I\u2019m free to go.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s the day to get the Peripherally Inserted Central Catheter, more commonly referred to as a PICC line. Once again things are quite streamlined. I\u2019m brought into the room with an OR like table with the above equipment at my head. I lay down and stick out my left arm. An ultrasound is used to &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/bigdadoo.com\/journey\/2021\/03\/09\/todays-adventure-is-brought-to-you-by-the-letters-p-i-c-and-another-c-day-8\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Today\u2019s Adventure is brought to you by the letters P, I, C and another C.  Day -8&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-999","post","type-post","status-publish","format-standard","hentry","category-health"],"jetpack_featured_media_url":"","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/posts\/999","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/comments?post=999"}],"version-history":[{"count":0,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/posts\/999\/revisions"}],"wp:attachment":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/media?parent=999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/categories?post=999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/tags?post=999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}