title: Nerve damage secondary to removal of fractured PICC fragment.
abstract: OBJECTIVE
  To increase awareness of peripherally inserted central catheter (PICC) fracture and necessary nursing assessment to identify development of nerve injury after removal of the PICC fracture.
  
  
  METHODS
  This is a case review of a cancer patient with fractured PICC and the postoperative symptoms leading to nerve injury.
  
  
  RESULTS
  The reason for PICC fracture is the fragility of silicon. Secondary surgical intervention of a PICC fragment resulted in nerve damage from a hematoma placing pressure on the median nerve in the arm.
  
  
  CONCLUSIONS
  It is necessary to use power injectable polyurethane PICCs. It is vital to have a clear understanding of signs and symptoms of nerve impingement in the arm when monitoring a post-operative patient. Assessment of neurological status, circulation, swelling and patient complaints of pain are all necessary functions of the nurse in caring for this type of patient.
authors.affiliation: Division of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu - PR China.
authors.forename: Qian Q
authors.initials: QQ
authors.lastname: Mou
authors.affiliation: Division of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu - PR China.
authors.forename: Yun X
authors.initials: YX
authors.lastname: Wang
authors.affiliation: Division of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu - PR China.
authors.forename: Qiong H
authors.initials: QH
authors.lastname: Xu
authors.affiliation: Division of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu - PR China.
authors.forename: Xia
authors.initials: X
authors.lastname: Liu
authors.affiliation: Division of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu - PR China.
authors.forename: Ying J
authors.initials: YJ
authors.lastname: Li
mesh_terms: D061605:Administration, Intravenous; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation*; D062905:Central Venous Catheters; D020878:Device Removal / Q000009:adverse effects*; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008475:Median Nerve / Q000293:injuries* / Q000503:physiopathology; D059348:Peripheral Nerve Injuries / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D020127:Recovery of Function; D012825:Silicon; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional
chemical_list: D012825:Silicon