Focus on peripherally inserted central catheters in critically ill patients

Figure 1 Ultrasound visualization of the internal jugular vein and the carotid artery on the right side of the neck. IJV: Internal jugular vein; CA: Carotid artery.

Figure 2 Ultrasound visualization of vessels of right upper arm: the brachial artery is the middle of two brachial veins. BA: Brachial artery; BV: Brachial veins.

Figure 3 Ultrasound-guided venipuncture of the axillary vein.

Figure 4 Stabilization with a sutureless device of a peripherally inserted central catheter.

Figure 5 Stabilization with a sutureless device of a centrally inserted central catheter.

Figure 6 Post-procedural chest X-ray. The left arrow shows the tip position of the peripherally inserted central catheter (PICC) that is at cavo-atrial junction (between the superior vena cava and the right atrium). The right arrow shows the tracheal carina.

Figure 7 The electrocardiographic method (intracavitary electrocardiography). The red arrow shows the maximal height of P-wave detectable when the catheter tip is at cavo-atrial junction (intracavitary EKG = red line, lead II). The yellow line is the surface EKG (lead III). EKG: Electrocardiography.

Figure 8 A neonate in intensive care unit with a centrally inserted central catheter.

Figure 9 A children in intensive care unit with a peripherally inserted central catheter.