Hey Bob
Did those 65 % of patients with thrombus have another type of central line prior to the PICC placement?
Funny you all talking about this today....I had just this incidence happen to me today. I usually assess the vein prior to insertion up to the axillary vein....The patient had a subclavian removed the day before; but on the opposite site.( I chose the opposite side just in case there was thrombus....cause we weren't sure how long that line had been in place) But it appeared there was just this problem......awaiting on the Upper extremeity venous doppler results.
-------------- Original message --------------
From: "Robert Nohavec" <[EMAIL PROTECTED]>
> 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
>
