From: [EMAIL PROTECTED] (Susan Schuetrumpf)
To: "Nadine Nakazawa" <[EMAIL PROTECTED]>, [EMAIL PROTECTED],
[EMAIL PROTECTED]
Subject: Re: tunneled small-bore CVCs
Date: Thu, 17 Aug 2006 03:53:20 +0000
You think this will be a good option for the 500+lb population??? I am
seeing way more of these lately!...why is it they are always the ones that
" pull out the line"????( I just dont' understand that)
--
Susan Schuetrumpf, CRNI
VASPRO
Atlanta, GA
cell-404-606-1194
-------------- Original message --------------
From: "Nadine Nakazawa" <[EMAIL PROTECTED]>
> Tell your group that I just met with the Chief of IR at Stanford,
"Rusty"
> Hofmann and he gave me that very article! This is what he wants to do
for
> all PICC referrals the PICC team sends them. He says that we are only
> sending the MOST difficult vasculature pts to them,and if we can't get a
> PICC in then they have struggled for hours to get them in and he
strongly
> feels we aren't doing what is best for patients. Anyway, we are going to
> start dong this (IR first, PICC team later) once I get all the education
out
> there about this "new" line.
>
> I disagree with Lynn. Although it is tunneled, it willl look different
as
> they will be using a short tunnel with a small bore , 5 or 6 Fr PICC,
> without a cuff. It is easier to remove because it's small with no cuff,
> easier to insert. A Hohn does not have a tunnel (as I recall) and is
> usually inserted percutaneously into the subclavian or IJ. This SBCC or
> tunneled jugular SMCC will require some staff nurse and community
education
> to get nurses comfortable with it's location, higher infection rate due
to
> skin but less with the tunnel, how to remove it, how to secure it, etc.
>
> Nadine
>
>
>
> >From: "Nancy Costa"
> >To: "Nadine Nakazawa" , [EMAIL PROTECTED]
> >Subject: Re: tunneled small-bore CVCs
> >Date: Wed, 16 Aug 2006 08:53:56 -0400
> >
> >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
> >
> >
>
>------------------------------------------------------------------------------
> >
> >
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>
>
>
