Use of peripherally inserted central catheters in ambulatory settings

<b>Introduction</b>The placement of Peripherally Inserted Central Catheters (PICC) was introduced in 1975 to address clinical emergency needs. With technological advancements, PICCs have become a safe and effective option for prolonged venous access, facilitating intravenous therapies in various clinical conditions. Their implementation in home care has reduced unnecessary hospital stays, improving patients' quality of life and optimizing healthcare resources. However, their ambulatory use presents challenges such as infections, thrombosis, and difficulties in handling the device. This review explores the impact of PICCs in outpatient settings, analyzing their benefits, risks, and strategies for safe management.<b>Objectives</b>Evaluate the efficacy and safety of PICC use in ambulatory care.Identify associated complications and prevention strategies.Analyze the experience of patients and families using PICCs.Assess the economic and healthcare impact of home intravenous therapy with PICCs.<b>Method</b>A scoping review was conducted following the methodology of the Joanna Briggs Institute (JBI) and the guidelines by Khalil et al. A systematic search was performed in Scopus, Medline (via PubMed), the Virtual Health Library (VHL), and EBSCO. Studies published between 2014 and 2024 in English, Spanish, and Portuguese were included, excluding grey literature and restricted-access studies. Selection and data extraction were performed using Rayyan Systems, Inc., ensuring methodological rigor through independent evaluation and consensus among reviewers.<b>Analysis</b>Extracted data were organized in a Microsoft Excel® form and analyzed using an inductive thematic approach. Relevant findings on indications, clinical outcomes, complications, treatment adherence, and patient perception were categorized. The PRISMA-ScR extension was used to ensure study transparency and reproducibility.Keywords: Peripherally Inserted Central Catheter, ambulatory care, home intravenous therapy, patient safety, complications, scoping review.