The PICC team is scheduled to remove a PICC before client discharge. Assessment of the catheter indicates the PICC and determines the PICC is "stuck". The most common cause of a stuck PICC is:

The most common cause of a "stuck" PICC (Peripherally Inserted Central Catheter) is the formation of a fibrin sheath. A fibrin sheath is a thin layer of fibrin, a protein involved in blood clotting, that can develop around the catheter. Over time, this sheath can adhere to the catheter, making it difficult to withdraw.

1. Fibrin Sheath Formation:

• The body's natural response to a foreign object like a catheter is to form a protective layer of fibrin around it.
• A fibrin sheath can extend along the length of the catheter, sometimes tightly adhering to the catheter wall.

2. Symptoms of a Stuck PICC:

• Resistance or difficulty during attempts to withdraw the catheter.
• Inability to pull the catheter smoothly and easily.

3. Prevention and Management:

• Routine flushing of the catheter with saline or heparin can help prevent the build-up of fibrin and maintain catheter patency.
• If a PICC becomes stuck, healthcare professionals may attempt various techniques, such as slow and gentle removal, flushing with a fibrinolytic agent, or applying tension and releasing in an attempt to break the adhesion.

4. Professional Assistance:

• If attempts to remove the PICC are unsuccessful or if there are concerns about potential complications, healthcare providers, particularly those experienced in vascular access, should be consulted for guidance and assistance.

5. Patient Comfort:

• Patients may experience discomfort or pain during attempts to remove a stuck PICC. It's important to communicate effectively with the patient, manage their pain, and ensure a safe and effective removal process.