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Fig. 2 | Trials

Fig. 2

From: Subcutaneous tunnelling versus conventional insertion of peripherally inserted central catheters in hospitalized patients (TUNNEL-PICC): a study protocol for a randomized controlled trial

Fig. 2

A Subcutaneous tunnel creation while placing a peripherally inserted central catheter (PICC). First, venepuncture under ultrasonography guidance will be performed with a puncture needle included in the PICC set, and a guidewire will be placed at an upper arm vein. Then, a subcutaneous tunnel will be created with an 18-gauge needle 1-inch away from the initial venepuncture site. B A guidewire will be passed through the needle under the subcutaneous tunnel. The loop will be resolved with a gentle snapping of the guidewire. C A peel-away sheath will be placed in the vein under the subcutaneous tunnel and over the guidewire. D Both wounds (initial venepuncture and catheter-exit sites) will be closed with glue (Histoacryl; B. Braun, Rubí, Spain)

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