Lynn is correct here. Our data showed a 65% thrombus rate when found with US. Out of this 65% none of the patients had clinical s/s of thrombus. Bob
>>> "Lynn Hadaway" <[EMAIL PROTECTED]> 3/6/2006 10:01:37 AM >>> I can appreciate your experience but you did not mention if you were doing any studies to rule out thrombosis on these catheters. The vast majority of catheter related thromboses are clinically silent but still present. So you really would need a US study to say that there are no thromboses with subclavian or brachiocephalic tip location. Lynn At 6:38 PM -0500 3/5/06, [EMAIL PROTECTED] wrote: >There are many times that for some reason duty to anontomical >problems that the PICC may not be able to terminate in the SVC. We >usually will check on the irritating componets of the infusate and >if not requiring SVC we will leave as Brachial cephalic or >subclavian. We have found more problems with pulling back to the >midline placement than leaving as subclavian or brachial cephalic. >If the patient is in the units they tend to draw their labs from the >PICC. If they are pulled back to a midline we find they stop having >good blood draws within a week. >We have not noticed any increase in thrombosis by leaving in the >subclaivan or brachial cephalic placement. >Linda Lembo >NJ > -- 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
