We use our US a lot to assist in finding veins, we usually always go for
the FA just distal to the anticubital area. I would take great caution
in putting one proximal (upper arm) with a short cath IV, especially if
you are planning on admin. antibx or contrast because by the time you
see infiltration it has usually caused damage. I've seen some horrible
pictures that have turned us away from short cath upper arm IVs. You can
usually find great veins in the FA and you can easily see infiltration.
Laurie Hill RN
PICC Team/RAD nurse
 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lawler, Maureen C.
Sent: Tuesday, May 16, 2006 11:15 AM
To: [EMAIL PROTECTED]
Subject: Ultrasound for periphs

We are just beginning using US for PICCs.  Ct Scan does not want to use
power
injector on veins in hand or wrist...don't blame them.  If they can't
gain
access in a large vein they call us and sometimes we can't either.  They
have
asked if it would be possible, once we gain skill with US, to place
periphs in
the upper arm with the aid of US.  Are any of you able to do this and if
not
what do you do to gain access for CT power injections?




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