I am not aware of any published standards or guidelines regarding
this issue, although it is a frequent question and we need something
on it. As you know, the oncology patients are at a greater risk. Your
options are
1. catheter-directed thrombolysis
2. low-dose thrombolytic infusion
3. heparin infusion
Some will remove the catheter while others will treat with the
line still in place. What I have seen is a decision made for that
patient at that time but don't think anyone has examined and reported
on which produces the best outcomes or compared outcomes in anyway.
Lynn
At 11:26 PM -0400 9/19/06, [EMAIL PROTECTED] wrote:
We are have had a few DVT with the PICC recently on our oncology floor. What is the standard out there on leaving the PICC in and giving lovenox or Heaprin,and continuing with the chemo(SVC placement) or removing. Thses are patients that are compromised to begin with and one had a mastectomy so the opposite arm was not a choice.What is everyone doing in these situations?
Thank you in advance
Linda Lembo
New Jersey
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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
