Other lines could also be used in these situations...it's easy to tunnel something that's not intended to be tunneled. Most often, we use Hohn catheters for this purpose. But we also tunnel PICCs when needed...in cases where a pt is mentally incompacitated, young kids, etc. Gives you more stability. We also occasionally tunnel from the IJ out the pt's back..it's an "out of sight, out of mind" thing that sounds so simple and yet really works.
Gail >>> "Nancy Costa" <[EMAIL PROTECTED]> 08/16 8:53 AM >>> Hi Nadine, Our radiology group calls them SBCC - small bore central catheter. In fact they have published this in Radiology. These are mostly used for renal patients. "Tunneled Jugular Small-Bore Central Catheters as an Alternative to Peripherally Inserted Central Catheters for Intermediate-term Venous Access in Patients with Hemodialysis and Chronic Renal Insufficiency" Sassadeusz, Trerotola, Shah, Namyslowski, Johnson, Moresco, and Patel Radiology 1999; 213:303-306 Nancy Costa CRNI ----- Original Message ----- From: Nadine Nakazawa To: [EMAIL PROTECTED] Sent: Tuesday, August 15, 2006 10:29 PM Subject: RE: tunneled small-bore CVCs Does anyone have a good name for these "small bore tunneled CVCs" that can be placed into the IJ with a short tunnel, that are 6 or 7 Fr in size? Tim or Ann: What do you call these lines? Especially if they are a PICC that has been trimmed and used in the IJs for patients with no decent vasculature in the arms for a regular PICC?? Our IR Chief feels that if the PICC team refers them a patient where we failed to get the PICC in, they will likely have the same troubles. Bad veins are bad veins. He wants to start putting in these lines when we refer them to IR for a failed PICC insertion. I think it dovetails very well with earlier discussions about all the bad vasculature out there. It's getting to be a real problem. Our numbers are excellent and we seen to only refer the truly difficult access situations. Nadine Nakazawa, RN, BS, OCN PICC Program Coordinator Stanford University Hospital and Clinics Stanford University Medical Center ------------------------------------------------------------------------------ No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.10.9/417 - Release Date: 8/11/2006 ----------------------------------------- CONFIDENTIALITY NOTICE: This email and any attachments may contain confidential information that is protected by law and is for the sole use of the individuals or entities to which it is addressed. If you are not the intended recipient, please notify the sender by replying to this email and destroying all copies of the communication and attachments. Further use, disclosure, copying, distribution of, or reliance upon the contents of this email and attachments is strictly prohibited. To contact Albany Medical Center, or for a copy of our privacy practices, please visit us on the Internet at www.amc.edu.
