Probably not. You need to determine the potential for
peripheral access. Over 80% of our home IVIG patients use PIVs. They simply
don't want to deal with a device that is noticeable under their clothing,
requires maintenance and/or restricts any of their activities. We only tend to
see PICCs when (1) the expected duration of therapy has not yet been fully
established & response to treatment is still under eval (2) as an interim
measure when PIVs are no longer practical and patient is being evaluated for
port.
Additional Considerations:
Bear in mind that traditional thinking re infusing IVIG
peripherally is to use an 18 or 20 gauge catheter. Not necessary. Decide if a 22
or 24 will work in this situation - and everybody be MUCH happier long
term!
If this is an immune deficient patient, physicians are now
no longer recommending ports. If peripheral access is not an option, consider
subcutaneous.
Marilyn Hanchett RN
IgG America
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Roger Soriano
Sent: Thursday, September 14, 2006 12:07 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Question regarding IVIG
Question is.. I know that the PICC is ideal for this infusion, but is it worth it to leave the PICC for once a month access just with daily flushing or remove it before discharge? The catheter is Arrow 4Fr.
Any Thoughts... thanks
--
Roger Soriano, RN
Vascular Access Specialists
818-687-8348
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