From the Research
Yes, a PICC line should be removed if a patient develops superficial phlebitis. The removal is necessary because the presence of phlebitis indicates inflammation of the vein, which can progress to more serious complications if the catheter remains in place. According to the most recent study 1, nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. It is recommended to remove any catheter that is not essential.
After removal, treatment typically includes:
- Warm compresses applied to the affected area for 20 minutes 3-4 times daily
- Elevation of the affected limb when possible
- Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen 400-600 mg every 6-8 hours or naproxen 500 mg twice daily for pain and inflammation
- In some cases, topical anti-inflammatory gels like diclofenac 1% may be applied to the area 3-4 times daily
The patient should be monitored for signs of progression to deeper vein thrombosis or infection, including increasing pain, redness, swelling, purulent drainage, or fever. Superficial phlebitis associated with vascular access devices is often caused by mechanical irritation of the vein wall by the catheter, chemical irritation from infused medications, or colonization of the catheter with bacteria, making removal an important step in resolving the condition and preventing further complications 2, 1.