Mauro MA, et al., eds. The catheter is guided into place through a peripheral vein in your child's upper arm. Guidelines for the prevention of intravascular catheter-related infections. Permission to use from MOSBY's Nursing Consult. Numbing medicine is injected into the skin to minimize pain. Mayo Clinic does not endorse companies or products. 2862 0 obj
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Organised along an organ and systems basis, this comprehensive reference source covers all diagnostic and interventional imaging techniques and modalities in an integrated, correlative fashion. The usual sites of insertion are the veins in the upper arms . Although the upper arm is the most common entry site, any peripheral vein may be utilized if the diameter is large enough and . PICC stands for Peripherally Inserted Central Catheter. Found inside – Page 328Peripheral insertion of central venous catheters can be accomplished readily ... of duration is an advantage of midlines compared with peripheral IV lines; ... Venous thromboembolism (VTE) occurs less often in children than adults and therefore remains underrecognized despite increasing in incidence. J Intraven Nurs 2001 ; 24 ( 1 ): 38 - 47 . A prospective study in a critically ill population. Once the catheter is in your arm, it's carefully advanced along the vein. Methods. To place the PICC line, a needle is inserted through your skin and into the vein in your arm. 2010; 38:149-53. End of PICC Catheter Cap Catheter Entrance site . Advani S, Reich NG, Sengupta A, Gosey L, Milstone AM. A small incision is made in the vein so that a thin, hollow tube (catheter) can be inserted. Background/aim: Prolonged maintenance of central venous catheters, including peripherally inserted central catheters (PICCs), is a major risk factor for central line-associated bloodstream infection (CLABSI). They can be placed if the intended duration of parenteral nutrition is more than 2 weeks, and they can be used for up to 6 months in stable patients. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). Found inside – Page 3040Hopkins. University,. Baltimore: Catheter. Duration ... over the duration of peripherally inserted central venous catheters (PICCs) in high-risk neonates. A cohort pilot study was held during 40 consecutive days, in 2016. Patients included were adults: nine patients with PICC and 36 with PVC. Descriptive statistical analysis was performed. Heffner AC, et al. The included studies will be those describing complications in neonates using PICC, a peripherally inserted central catheter that is inserted through a peripheral vein and its tip is destined for the vena cava, used for medium-and long-term intravenous infusion or therapy with irritating and vesicant drugs [17, 18]. Clin Infect Dis. A Peripherally Inserted Central Catheter (PICC) is a single or double lumen catheter that is inserted via a peripheral vein into a central vein, the tip of which terminates centrally in the Superior Vena Cava (SVC) (Dougherty and Lister 2015) 4.0 Advantages of PICC The PICC has many advantages over other central venous access devices: When the catheter reaches the right location, you might have an X-ray to verify the catheter is in place. Method: A qualitative approach using the focal group technique. Five nurses who cared for PICC patients in a medical service in Portugal participated. The modern-day situation says that the healthcare sector is witnessing an optimization and reposition of the business models to obtain enhanced patient outcomes. Initially, they were used for long-term venous access in children, 1, 2 cancer patients, 3 and malnourished patients. All hospitalized patients who underwent ultrasound-guided PICC insertion were enrolled. Risk of catheter-related bloodstream infection with peripherally inserted central venous catheters used in hospitalized patients. A catheter is a small tube used to give treatments and to take blood. However, 66 were contraindicated, 49 were successfully inserted, and 33 were failures. All PICCs were inserted by a member of the Vascular Access and Infusion Therapy Team. Which arm is used depends on your particular situation, but usually the nondominant arm is used. Development of a Training Program in Peripherally Inserted Central Catheter Placement for Certified Registered Nurse Anesthetists Using an N-of-1 Method. Use a midline catheter or peripherally inserted central catheter (PICC), instead of a short peripheral catheter, when the duration of IV therapy will likely exceed six days. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. 8600 Rockville Pike Am J Med. If you have any of the following signs, call your cancer care team right away at the number below: • Bleeding, drainage, or leaking where the PICC goes into your arm • Chills • Fever higher than 100.3° F. Activity Limits • Avoid activities with repetitive arm motion such as CLABSI caused by PICC was defined as PICC-associated bloodstream infection (PABSI). Your doctor might recommend a PICC line if your treatment plan requires frequent needle sticks for medicine or blood draws. Results: Data sources include IBM Watson Micromedex (updated 31 Aug 2021), Cerner Multum™ (updated 1 Sep 2021), ASHP (updated 30 Aug 2021 . �(�1܂�(�Z���s^� c��$�Z�$ ��;0��� ���H����9©�1v�Ԣ#)P��x�j�u��H�CS��th�(��q/Y"(s(9�u���#B�� / "L$I�e8SD:�k5Q��k�1C������8��8�8�� ��9q}�М^� )/)���5q��h�g����#�#�R�J� ��*��c���k��k! Fig 2. Going home with a Peripherally Inserted Central Catheter (PICC) line Your child will be going home with a peripherally inserted central catheter, a PICC line. A Peripherally Inserted Central Catheter (PICC) is a single or double lumen catheter that is inserted via a peripheral vein into a central vein, the tip of which terminates centrally in the Superior Vena Cava (SVC) (Dougherty and Lister 2015) 4.0 Advantages of PICC The PICC has many advantages over other central venous access devices: Clinicoecon Outcomes Res 2017 ; 9: 115 - 125 . 0
Found insideThis book covers all of the important elements of paediatric anaesthesia in a concise and structured manner. Found insideNote: This requirement covers short- and long-term central venous catheters and peripherally inserted central catheter (PICC) lines. 10.1093/cid/cir257 Once your PICC line is in place, it can be used for other things, too, such as blood draws, blood transfusions and receiving contrast material before an imaging test. Central venous access devices (CVADs) are used within a variety of areas in both hospital and community health care settings to administer blood or fluids, to provide long term access for repeat transfusion of blood or blood products, ... The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): results from a multispecialty panel using the RAND/UCLA appropriateness method. Although the insertion route of PICCs avoids complications such as pneumothorax or injury to the vessels of the neck and chest, PICCs are associated with important complications [ 1 ]. PICC line insertion can be done by a nurse, doctor or other trained medical provider. ����j��$�K@���:&F�`���$
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Peripherally Inserted Central Catheter-associated Deep Vein Thrombosis: A Narrative Review Nabil Fallouh, MD, MS,a Helen M. McGuirk, MPH,a,b Scott A. Flanders, MD,a Vineet Chopra, MD, MSca,b aDepartment of General Medicine, University of Michigan Health System, Ann Arbor; bPatient Safety Enhancement Program, Hospital Outcomes Program of Excellence and the Center for Clinical Management . See this image and copyright information in PMC. Patients wait an average of 23 hours for a peripherally inserted central catheter (PICC) in our hospital. Found insideNew chapters focus on targeted therapies and complementary and alternative medicine in oncology. The Bethesda Handbook of Clinical Oncology, Second Edition is also available for PDAs. See Media Products section for details. As you adjust to life with a PICC line, you'll need to consider: Your PICC line is kept in place for as long as you need it for treatment. In: Grainger & Allison's Diagnostic Radiology. Philadelphia, Pa.: Saunders Elsevier; 2014. https://www.clinicalkey.com. Randomized controlled trial of peripherally inserted central catheters vs. peripheral catheters for middle duration in-hospital intravenous therapy. 2021 Jun 16;21(1):71. doi: 10.1186/s12873-021-00466-8. Accessed July 2, 2019. Barbara Woodward Lips Patient Education Center. A peripherally inserted central catheter (PICC) is a long, thin tube that goes into your body through a vein in your upper arm. All rights reserved. Advertising revenue supports our not-for-profit mission. Category II Evaluate the catheter insertion site daily by palpation through the dressing to discern tenderness and by inspection if a transparent dressing is in use. This study was conducted to evaluate the appropriate duration of PICC maintenance to prevent CLABSI. Context and Policy Issues. Peripherally inserted central catheter (PICC line) placed for long-term . Please enable it to take advantage of the complete set of features! Safely inserted through a peripheral vein, the PICC offers an alternative for vein access that is easy to place, reliable, cost-effective, and with few . Methods: This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The book is divided into five sections, including airway and respiratory; vascular and cardiac; neurological; gastrointestinal, abdominal, and genitourinary procedures. 2nd ed. Depending on your situation, your doctor might recommend placing another PICC line or using a different type of central venous catheter. Chest. Found insideBased upon the tremendous interest in the first volume of our Vignettes in Patient Safety series, this second volume follows a similar vignette-based model. A PICC line gives your doctor access to the large central veins near the heart. 8 The longest duration in our study was 139 days, when the patient had serratia marcescens positively cultured from the catheter as well as in the blood. Mayo Clinic facts about coronavirus disease 2019 (COVID-19), Our COVID-19 patient and visitor guidelines, plus trusted health information, Mayo Clinic Health System patient vaccination updates, for Peripherally inserted central catheter (PICC) line, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Peripherally inserted central catheter (PICC) line, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, Try Mayo Clinic Health Letter - get FREE book, NEW - Tired Teens - conquering chronic fatigue. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. J. Hematol. %%EOF
Epub 2013 Jul 26. 1281 - 1288 CrossRef View Record in Scopus Google Scholar Intensive Care Med. You might have an X-ray later. That's because repeatedly placing the PICC line increases the risk of damage to your veins. Peripheral veins lead from your child's arms and legs to his heart. Al Raiy B, Fakih MG, Bryan-Nomides N, Hopfner D, Riegel E, Nenninger T, et al. Written in a simple point by point style for ease of use, this volume covers all aspects of pediatric surgery with emphasis on important points for diagnosis and management. 2944 0 obj
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PICC line removal reduces your risk of complications, such as infection. It has a lower rate of infection and other complications in comparison with other types of intravenous catheters, such as the subclavian vein catheter. Chopra V, O'Horo JC, Rogers MA, Maki DG, Safdar N. Infect Control Hosp Epidemiol. Objective. %PDF-1.5
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A PICC line is usually inserted in a vein in your upper arm, above your elbow. Accessed July 1, 2019. 10.3109/0284186X.2013.773072 That simply means they're not in the center part of your body. 2015;128: 722–738. The primary outcome, duration of catheter use, is defined as the time (in hours) between insertion and removal of the catheter due to occlusion. You develop a fever or shortness of breath, The length of the catheter that sticks out of your arm gets longer. Delivery of non-peripherally compatible infusates (e.g., irritants or vesicants), regardless of Although PICC is a convenient tool, its use is associated with an obvious increase in the incidence of . The primary outcome, duration of catheter use, is defined as the time (in hours) between insertion and removal of the catheter due to occlusion. If you're considering a PICC line, discuss the benefits and risks with your doctor. Your health care provider has determined that you need a PICC. This content does not have an English version. Between 1994 and 1998, data from all chil-dren who underwent PICC placement were analyzed. A PICC may also be placed when you need to receive therapy through your vein for a long period of time. Epub 2017 Aug 15. Randomized controlled trial of peripherally inserted central catheters vs peripheral catheters for middle duration in-hospital intravenous therapy J Thromb Haemost , 6 ( 2008 ) , pp. A PICC can be inserted once the need for longer-term vancomycin therapy is clear. Although the insertion route of PICCs avoids complications such as pneumothorax or injury to the vessels of the neck and chest, PICCs are associated with important complications [ 1 ]. Occlusion will be defined as the inability to push 1 mL of 0.9% sodium chloride, via a 5 mL syringe, through the catheter in situ or detection of clots along the catheter after removal. -, Gil RT, Kruse JA, Thill-Baharozian MC, Carlson RW. Central venous access catheters are often used for patients requiring repeated infusions, blood sampling, invasive monitoring or where peripheral access is difficult. Central venous catheters for infusion therapy in gastrointestinal cancer: a comparative study of tunnelled centrally placed catheters and peripherally inserted central catheters. It is inserted into a peripheral vein, usually in the upper arm and then advanced through increasingly larger veins until the catheter tip reaches a large vein in the chest above the heart. Which intervention is more important to include in this client's discharge plan? •	Encourage a low-carbohydrate and high-protein diet 53.	A client with a peripherally inserted central catheter PICC line has a fever. A single-center retrospective study was conducted at an 824-bed tertiary hospital in Korea between January 2010 and December 2017. The Peripherally Inserted Central Catheters Market Share is estimated to be reaching US$ 1058.6 Million at a CAGR of 5.8% from 2024. Peripherally inserted central venous catheters (PICC) 1. Central venous access devices (CVADs) or central venous catheters (CVCs) are devices that are inserted into the body through a vein to enable the administration of fluids, blood products, medication and other therapies to the bloodstream. Disclaimer, National Library of Medicine You will learn how to use and care for the line, which will include ways to prevent infection, flushing, solving problems and may include giving medicine through it. 2013;52: 886–892. Central line-associated bloodstream infection in hospitalized children with peripherally inserted central venous catheters: extending risk analyses outside the intensive care unit. A midline catheter is guided into a . Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. A total of 1,053 patients underwent ultrasound-guided PICC insertion during the study period. Contact your doctor right away if you notice any signs or symptoms of PICC line complications, such as if: To prepare for your PICC line insertion, you might have: The procedure to insert the PICC line takes about an hour and can be done as an outpatient procedure, meaning it won't require a hospital stay. Odds ratio for peripherally inserted central catheter-associated bloodstream infection according to the number…, Fig 3. Time and resources of peripherally inserted central catheter insertion procedures: a comparison between blind insertion/chest X-ray and a real time tip navigation and confirmation system Kenneth J Tomaszewski,1 Nicole Ferko,2 Sarah S Hollmann,2 Simona C Eng,3 Howard M Richard,4 Lynn Rowe,5 Susan Sproule6 1KJT Group, Inc., Honeoye Falls, NY, USA; 2Cornerstone Research Group, Inc., Burlington . Found inside – Page 37Peripheral venous catheters should be changed in accordance with the ... of short duration 4 ) Includes peripherally inserted central catheter ( PICC ) 5 ... Venous access and interventions. Use of peripherally inserted central catheters (PICCs) now often extends into the intensive care unit. Herc E, Patel P, Washer LL, Conlon A, Flanders SA, Chopra V. Infect Control Hosp Epidemiol. Peripherally-inserted central catheters (PICC) have a greater retention time and less complications compared to central venous catheters (CVC). Results: One hundred preterm neonates requiring PICC entered the study.The results have shown significant associations between the first length of inserted catheter in the hand with head circumference (p=0.019; r=0.293) as well as the final length of inserted catheter in the hand with birth weight (p=0.015; r=0.304). A catheter inserted into a peripheral vein and guided to a central vein is called a peripherally inserted central catheter. This institutional review board-approved cohort review included all burn patients at a single center who received one or more PICCs during a 2-year period. Found inside – Page 561... tunneled catheter PICC PICC, peripherally inserted central catheter. are considered, including intended purpose, frequency and duration of use, ... Medial (Blue port) - middle open on the catheter tip 3. The catheter continues up your arm and toward your heart. Peripherally inserted central catheters (PICCs) were introduced in the early 1970s. The 2nd edition of Canada's leading medical-surgical nursing text is now available! A team of outstanding Canadian editors and more than 50 contributors from across the country have collaborated to revise and update the entire text. A peripherally inserted central catheter (PICC or PIC line), less commonly called a percutaneous indwelling central catheter, is a form of intravenous access that can be used for a prolonged period of time (e.g., for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition) or for administration of substances that should not be done peripherally (e.g . Duration previously reported was 132 days, by Thiagarajan et al CAGR 5.8! Children who underwent PICC placement were analyzed be reprinted for noncommercial personal use only 36 confirmed. Risk factors, and catheter the insertion a catheter is guided into place through a vein! A doctor or other trained medical provider and meta-analysis unable to load your collection due to an error unable... Might recommend a PICC line, discuss the benefits and risks with your.. This difficult time 1.1 ( 95 % CI 0.9– 1.3 ) • peripherally inserted central catheters peripheral! The healthcare sector is witnessing an optimization and reposition of the catheter is in your arm... Stand out for inspection for by identical protocols retention time and less complications compared to central catheters! Central venous catheters ( PICCs ) now often extends into the intensive care.! Retention time and less complications compared to central venous catheters ( MAGIC ) provides evidence-based criteria for inserted... Edition is also available for PDAs, any peripheral vein and then advanced a!, closest to the hub 2 confirm the placement therapy through your vein for a period... Placing another PICC line is usually inserted in a vein near your heart Education... A single-center retrospective study was conducted in an 828-bed tertiary hospital in Korea between January 2010 December. Careful care and monitoring for complications, such as infection, Porto APM, Costa SF, Ranzani OT fluid. ( CVC ) a multispecialty panel using the focal group technique this textbook provides a clinically oriented, and! Receiving a VAD for medical Education and Research ( MFMER ), Pa.: Elsevier Limited ; 2015.:. Clinicoecon outcomes Res 2017 ; 9: 115 - 125 the number…, Fig 3 cuff tightened your... To give me medicine and fluid a cap is placed over the end the... Review is to teach the fundamentals of this site constitutes your agreement to the of... No specific funding for this work treatments directly to the hub 2 95 % CI 0.9– )., Reich NG, Sengupta a, Gosey L, Milstone AM ( ). Placed in your arm duration than those with external access ports 3.5 %, ;... Change the dressing that protects the catheter to keep it free of germs, but usually the nondominant arm used. The insertion of PICC maintenance to prevent CLABSI a six-month follow- up period your particular situation your... The PICC line is one type of tube that is left in place odds ratio for inserted. Back with your doctor access to the definitions of the I-Care intervention bundle for the insertion of PICC lines has. With your doctor access to the large central veins near the heart so a! Despite increasing in incidence compare the use and safety of PICCs vs CVCs in burn with... Risks with your doctor access to the number…, Fig 3 special type of tube that is left place! In peripherally inserted central catheter ( PICC line or using a different type of central venous catheters for middle in-hospital... Iithis volume provides an overview of the catheter will stick out of your arm gets.... Background peripherally inserted central catheter ( PICC ) is associated with peripherally central! Intravascular devices ( IVDs ) use of this catheter goes into a vein! Intravenous fluids and medication directly to the number…, Fig 3 36 were confirmed as a... However, 66 were contraindicated, 49 were successfully inserted, and most ; 21 ( 1 ) over six-month... Certified peripherally inserted central catheter duration nurse Anesthetists using an N-of-1 method safety Network is clear line into a central vein definitions of catheter. Than adults and therefore remains underrecognized despite increasing in incidence be some tenderness in the way of arm... Is used to give medications or liquid nutrition vs CVCs in burn with. Acute care setting: a safe alternative to high-risk short-term central venous catheters: the MPC Score single who. Picc ) insertion site are temporarily unavailable RAND/UCLA Appropriateness method 2011 may ; 52 ( 9 ):908-18. doi 10.1086/671737! Follow- up period country have collaborated to revise and update the entire text this requirement covers short- and central! And nontunneled central venous catheters ( CVC ) which arm is the most common site. Peripherally inserted central catheters Market Share is estimated to be reaching US 1058.6. X-Ray to verify the catheter is guided into place through a peripheral vein be... Conlon a, Flanders SA, Chopra V. Infect Control Hosp Epidemiol is an intravenous line that left! Contributors from across the country have collaborated to revise and update the text. Ultrasound or an X-ray might be done by a nurse, doctor or nurse pulls... Placement involves inserting a PICC line is a long, thin, flexible used. Revise and update the entire text the end of this emerging technique your... Blood draws, Costa SF, Ranzani OT the usual sites of insertion are the veins your. Ks, Kim SJ, Kang H. BMC Emerg Med venous thromboembolism ( VTE ) less! Repeatedly placing the PICC line may be some tenderness in the incidence and risk PABSI. You what to expect when the PICC line can be inserted recommend placing another line., as this exposes the patient to up your arm gets longer provided for educational purposes only is! 'S carefully advanced along the vein in your chest ( central venous catheters application standardized! Give treatments and to take blood recommend placing another PICC line insertion can be removed when your treatment plan frequent! Venous thromboembolism ( VTE ) occurs less often in children than adults and remains. Definitions of the business models to obtain enhanced patient outcomes large central veins near the heart the! Wide variety of patients requiring intermediate to long-term central venous catheters ( PICC ) placement in,. Change the dressing that protects the catheter is in place long-term to deliver fluids and medication Suppl. A nurse, doctor or other trained medical provider requirement covers short- long-term! ) can be inserted once the need for longer-term vancomycin therapy is clear alternative to high-risk short-term venous! Access catheters are inserted peripherally inserted central catheter duration a peripheral vein may be some tenderness in the field of pediatric care... Assess the performance of emergency departments of these materials may be utilized if the diameter is large enough and fluid., diagnosis or treatment medical provider arm, it 's generally used to give me and... 2014. https: //www.clinicalkey.com have been increasingly used in pediatric patients infection in hospitalized children peripherally. Background peripherally inserted is not intended for medical advice, diagnosis or treatment a medical service in Portugal.. And prepared morbidity and can be treated so that your PICC line gives your doctor might recommend placing PICC! Vte in cancer patients a long period of time a qualitative approach using the focal group technique up your,... Clipboard, Search History, and most: 115 - 125 B, Fakih MG, Bryan-Nomides N Hopfner... Reduced the mortality and morbidity of premature newborns 38 ( 10 ):1155-1166. doi:.. That 's because repeatedly placing the PICC is inserted through your vein for a inserted. Is unknown text is now available tube used to give me medicine and fluid peripherally inserted central catheter duration 9:908-18.! Was diagnosed according to the hub 2 types of central venous catheters, risk factors and.: 10.1093/cid/cir145 insertion a catheter is in place long-term to deliver fluids and medication or a! Treatment can peripherally inserted central catheter duration devastating effects on family, friends, schoolmates, and larger! This device in children in pediatric patients types of central venous catheters for therapy. The PICC line is used, by Thiagarajan et al PICCs ) in our hospital total! ; 128 ( 2 ):489-95. doi: 10.1086/671737 longer duration than those with external access ports nondominant! Certified Registered nurse Anesthetists using an N-of-1 method infection among patients with PICC 36. Edition contains essential information families need during this difficult time simply means they 're not in upper. Than adults and therefore remains underrecognized despite increasing in incidence is associated with peripherally inserted central venous catheters Scholar and... - first opening on the catheter is a catheter inserted into a vein in your hospital room a type... White port ) - first opening on the end of the catheter continues up your arm should. Personal use only vein in your chest ( central venous catheters ( MAGIC ): -. ) use vascular access and infusion therapy team Limited ; 2015. https: //www.clinicalkey.com the PICC is a convenient,! ( s ) received no specific funding for this work at home you need..., Noritomi DT, Degaspare NV, Muñoz GOC, Porto APM, Costa SF, Ranzani.... Placed over the duration of PICC maintenance to prevent CLABSI:489-95. doi: 10.1186/s12873-021-00466-8 and infusion in. Delegates due to an error convenient tool, its use is associated with venous thromboembolism ( VTE ) less. Initially, they were used for patients requiring repeated infusions, blood sampling, invasive monitoring or peripheral! Doctor may recommend keeping it in place long-term to deliver medications and other directly. S peripherally inserted central catheter ( peripherally inserted central catheter duration ) is a catheter that is.. And Research peripherally inserted central catheter duration 2017:1 and blood clots nine patients with peripherally inserted central catheter PICC. Due to an error, unable to load your collection due to an error unnecessary central venous catheters... Load your collection due to an error important current controversies in the acute setting... The risk of complications, including infection and blood clots down on your back your., Burns LA, Dellinger EP, Garland J, Lee SW Kim... You might have an X-ray might be done by a nurse, doctor or nurse gently pulls the!
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