My understanding is he was advocating that PIV's should be placed under Ultrasound. Did you understand something different?
-----Original Message----- From: Tim Talbert [mailto:[EMAIL PROTECTED] Sent: Thursday, May 18, 2006 4:04 PM To: Katie Howard; [EMAIL PROTECTED]; Sally Walker Cc: [EMAIL PROTECTED] Subject: RE: Ultrasound for periphs What blanket statement did he make? As an aside, I would place "evidence based-practice" far ahead of policy or "standard" as a criterion. Tim >>> "Katie Howard" <[EMAIL PROTECTED]> 5/18/06 >>> We had an interesting conversation after his presentation. I have never seen so many hostile nurses in my life. He said many controversial things that were not supported by policy, standard or even evidence-based practice. The INS standard for PIV dwell time is 72 hours unless there is a compelling reason to leave the line in longer. I think longevity of the PIV is more dependant upon location and infusate than US use. Also, an important thing to consider is, how are you able to hold traction on that vein during cannulation? The literature shows the importance of vein traction during insertion on phlebitis and thrombus formation. Did anyone hear Lynn Hadaway's presentation on causes of catheter complications? She had some very good points. I agree that ultrasound can be a viable option for IV placement but to make a blanket statement concerning the use of ultrasound such as he did is not supported in the literature nor does it make sense. Katie Howard RN CRNI Intermountain Infusion Pharmacy IV Therapy Education -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sally Walker Sent: Thursday, May 18, 2006 9:12 AM To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED] Subject: re: Ultrasound for periphs Maureen Lawler (and others) have inquired and/or commented about using ultrasound for peripheral vascular access. At the recent INS conference, Richard Wade did quite an impressive presentation titled, "Technologic Advances for Vascular Access Device Placement". Richard is the PICC Clinician/Educator at PICC Advantage, LLC, in Queen Creek, Arizona (I have no email contact information for him). He focused his presentation on the use of ultrasound for peripheral lines (of course they use US/MST for PICC's, as well), including placement of lines in children. One of the notable outcomes they have seen is the increased longevity of peripheral lines using US--most of their lines last for 96 hours. Richard included a number of videos of the actual ultrasound placement, so was able to demonstrate the vessel assessment, catheter placement, etc. If anyone is interested in pursuing this practice, Richard certainly has the experience and seems willing to share what they have learned. Sally Walker Notice from St.Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure.
