I am posting this for someone having difficulty with PICC placement with
very edematous patients. Can anyone offer words of wisdom?

"We are having great difficulty with our PICC insertions on patients who are
quite edematous.  We are using ultrasound, and have been for quite  some
time now.  We are  noticing that  when we use a tourniquet on these patients
the veins are very difficult to see, and seem to move about as we try to
access them. 

Is the tourniquet increasing the amount of fluid around the veins?  If we
try it without the tourniquet, it is very difficult to see the veins. The
depth is also an issue.

Do you have any advice that could help us out? We have a very poor success
rate with these particular patients."


Thank you

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Nancy Moureau
President
[EMAIL PROTECTED]
302 Hollywood Forest Dr
Orange Park, FL 32003
tel: 1-888-714-1951
fax: 904-264-6887
www.piccexcellence.com
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