I have placed PICC's on patients with pacemakers and defibrilators. I never place on the same side. If I can't use the opposite side they go to radiology for placement under fluroscopy.
Carol Bess, RN, BSN, CRNI Infusion Nurse Specialist Bellin Hospital Tel (920) 433-3416 Pager (920) 556-4210 e-mail: [EMAIL PROTECTED] >>> <[EMAIL PROTECTED]> 11/21/05 12:25 PM >>> As Lynn states, patient assessment is necessary. I recently evaluated what I was told was a left arm insertion PICC. Patient had bulge near clavicle - which she told me was her pacemaker... Seems the radiologist inserter could not pass the line past the pacemaker/ patient would not let them try again.... bit was left as a mid line. the only noted problem was that Vanco was being infused via this line... She did complete therapy with no adverse outcome. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Lynn Hadaway Sent: Monday, November 21, 2005 10:02 AM To: Cofield Louise; Venous (E-mail) Subject: Re: contraindications for PICC Maybe a relative contraindication but not absolute. I would need to do a complete patient assessment. If the patient needs vascular access, your choices are PICC, tunneled or implanted ports. They all have tip locations in the SVC which are the same veins used for these cardiac devices. Placement of a catheter depends on the age of these devices. If they are firmly implanted and healed (usually more than 6 months), there is virtually no chance that catheter insertion will damage the leads. There can be vein thrombus that develops as a bridge between the catheter and the leads. Thus catheter removal could fracture the leads. If any resistance is encountered upon removal, I would stop and get a dye study to determine the problem. Lynn At 11:51 AM -0500 11/21/05, Cofield Louise wrote: Would it be contraindicated to place a picc line in a patient that has an internal pacemaker and an internal defibrillator? Louise P. Cofield RN BSN , CMSRN St. Francis Hospital Clinical Educator Med/Surg Ext 6166 Pager# 390-1167 ************************************************************************************** Confidentiality Notice This email and any files transmitted with it may contain confidential and /or proprietary information in the possession of St. Francis Hospital, Inc. and is intended only for the individual or entity to whom addressed. This email may contain information that is held to be privileged, confidential, and exempt from disclosure under applicable law. This information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any unauthorized access, dissemination, distribution or copying of any information from this email is strictly prohibited, and may subject you to criminal and/or civil liability. If you have received this email in error, please notify the sender by reply email and then delete this email and its attachments from your computer. Thank you. Content-Location: Blank%20Bkgrd.gif Content-Type: image/gif; name="Blank Bkgrd.gif" Content-ID: <[EMAIL PROTECTED]> Content-Description: Blank Bkgrd.gif The following document was sent as an embedded object but not referenced by the email above: Attachment converted: G4 Laptop:Blank Bkgrd 1.gif (GIFf/«IC») (000CD497) -- Lynn Hadaway, M.Ed., RNC, CRNI Lynn Hadaway Associates, Inc. 126 Main Street, PO Box 10 Milner, GA 30257 http://www.hadawayassociates.com office 770-358-7861 ************************************************************* The information contained in this E-mail transmission is intended only for the use of the individual or entity to whom it is addressed. It may contain privileged, confidential, and protected health information. If you received it in error, you are on notice of its status. Please notify us immediately by reply e-mail and then please delete this message from your system. Please do not copy it or use it for any purposes, or disclose its contents to any other person. To do so could violate state and Federal privacy laws. Thank you for your cooperation. Please contact the sender if you need assistance.
