to measure, basilic/brachial vein route: AC to right below the collarbone, then straight down to 3rd intercostal space (nipple line for small sized kids). cephalic route: add 2-3 cm (cephalic measurement is tricky. hard to describe with words). when access of the vein obtained, minus the distant from the exit site to AC. for example, for a medium sized adult, 45cm is from right AC to SVC, if the exit site is 3 cm above AC, internal length is 42 cm + skin depth.
this is also one of the reasons to review all picc CXR you place -- after seeing how those catheters turn/route to SVC, you can pretty much measure blindly. --- [EMAIL PROTECTED] wrote: > Since we have been having this long and interesting > discussion of tip placement for the past week I > thought it might be a good opportunity for those of > you that insert PICCs blindly at the bedside either > with or witout benefit of US/MST but NO flouro to > please describe how you MEASURE (excluding those > that use Nurse Lums method)--We have experienced a > rash of MISmeasurements lately--Ranging from 4-5cms > too short to 4-5cms too long--Perhaps there are some > web addresses you can reference that have > diagrams--Most greatful as always for your guidance > > -- > Robbin K. George RN > Vascular Access Resource > Alexandria Hospital Virginia > > > What exactly is the anatomical location of "fine" or > "okay to use"? This is the question I have asked > doctors who have pronounced one of these terms to be > the tip termination of a PICC. I had one radiologist > who sent (via his tech) me the message that tip > termination was fine. It took several hours to > validate what he meant, which was RA. Fine to him, > not to me, as I cannot leave it there as he could > have. Some docs think brachiocephalic is fine. You > are correct - you need to get the exact tip > termination from them. > Leigh Ann __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com
