"Extended subcutaneous route" technique: a quick subcutaneous tunnelling technique for PICC insertion.
OBJECTIVE
To describe a quick tunnelling technique for peripherally inserted central catheter (PICC) insertion called the "extended subcutaneous route" technique.


METHODS
The "extended subcutaneous route" technique is described step by step.


RESULTS
In 18 consecutive PICCs, inserted with extended route technique in ASST Monza, no complications during insertion were registered. In 969 catheter days observed, we identified only one accidental dislodgement. No other mid-term complications were observed.


CONCLUSIONS
Extended subcutaneous route technique allows the creation of a subcutaneous tunnel <5 cm, without skin incision and additional manipulation. Extended subcutaneous route technique may be feasible and useful, particularly for patients with high risk of bleeding or infection.
Emergency Department and Intensive Care, University of Milan-Bicocca, A.S.S.T. Monza, San Gerardo Hospital, Monza (MB) - Italy.
Stefano
S
Elli
Emergency Department and Intensive Care, University of Milan-Bicocca, A.S.S.T. Monza, San Gerardo Hospital, Monza (MB) - Italy.
Chiara
C
Abbruzzese
Emergency Department and Intensive Care, University of Milan-Bicocca, A.S.S.T. Monza, San Gerardo Hospital, Monza (MB) - Italy.
Luigi
L
Cannizzo
Emergency Department and Intensive Care, University of Milan-Bicocca, A.S.S.T. Monza, San Gerardo Hospital, Monza (MB) - Italy.
Simona
S
Vimercati
Emergency Department and Intensive Care, University of Milan-Bicocca, A.S.S.T. Monza, San Gerardo Hospital, Monza (MB) - Italy.
Stefania
S
Vanini
Emergency Department and Intensive Care, University of Milan-Bicocca, A.S.S.T. Monza, San Gerardo Hospital, Monza (MB) - Italy.
Alberto
A
Lucchini
D059925:Anatomic Landmarks; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D005240:Feasibility Studies; D006801:Humans; D012307:Risk Factors; D013997:Time Factors; D018084:Ultrasonography, Interventional; D062666:Vascular Access Devices