a 2 m.o. got admitted for infected thrombosis R IJ secondary to R IJ central line. ultrasound confirmed complete occlusion R IJ, partial occlusion right innominate. ID recommend 4 weeks abx iv. parents (both MDs) want to go home. they don't want picc or any central line because of BAD experience (can't blame them). Dad wants home piv for abx (he is an anesthesiologist himself). my concern is delayed or absence abx treatment if IV access lost at home. So now we settle with midline -- I did explain to them the risk of thrombosis from midline vs picc.
so if I place a midline left AC, it will be about 5 cm internal length. if I choose saphenous, should I leave the tip @ the fem vein? I don't see the best solution for this case. I had thought that piv would be the safest -- for in-house care. However, piv doesn't seem like an optimal option for home care -- the baby is a difficult stick -- why he ended up with an IJ in another facility in the beginning. please advise __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com
