Wow was that interesting. Leave it to you, Shirley to come up with something
good. I have no clue how you wrapped the wire around the nerve, but I do
have a technique that Dr. LaDonn taught some of us at AVA and should work
nicely in this type of situation. Frequently wires will curve back on
themselves when inserted into the vein. Wires used to be J tipped to reduce
vein wall punctures and facilitate sliding through the vein with a stiffer
wire. Now we use floppy tips that easily turn into a U when it first goes
into the vein, making us think it won't thread. Try this...when you know you
are in the vein, ie dripping blood and all looks good, then you can't thread
the wire, Pull the needle and leave the wire in place. Take a long angio
(many kits have an extra in the kit), remove the needle and slide the sheath
over the wire and into the vein. After the cannula is in place gently pull
the wire back and slowly reinsert. The cannula allows retraction of the wire
without risk of shearing with the needle and it also straightens the wire
for advancement at a better angle into the vein. Let me know how it works
for you!

Nancy Moureau, BSN, CRNI
PICC Excellence, Inc.
888-714-1951
www.piccexcellence.com 
[EMAIL PROTECTED]  
 


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Shirley Ellis
Sent: Wednesday, September 20, 2006 7:21 PM
To: [EMAIL PROTECTED]
Subject: just another picc line insertion, not



One of the great things about this venue is learning from each other  
and sharing experiences, so here goes.

Situation:
1.  Patient with dx of cellulitis left thumb.. mri negative for  
osteo... treatment for 3 weeks of IV vanco. (p.s. patient is ARNP,  
midwife OB/GYN with years of OR expericene).
2.  PICC nurse 14 years experience (last 4 with MST and US) using  
same style of equipment for 2 years and does not perform the through  
the back wall technique of needle insertion .

Procedure:  Bedside PICC placement.
1.  Patient, along with the nurse, observing real-time ultrasound  
guidance with 21 ga needle into vessel with free flowing blood return  
(right basilic vein size of a dime).  Needle easily visualized on the  
screen and into vessel.  Upon advancement of nitinol wire, stated  
"now I feel that".  Wire was GENTLY retracted without difficulty,  
established 3 ml of blood return via a syringe(good drip throughout  
procedure) and wire was gently advanced but at 7 cm again stated  
"feel that again".  Denied sharp, tingling, etc. but just "funny".   
Immediately removed the needle from the site, engaging the safety  
feature, then started retracting on the wire which became stuck.
        (past cases)
        a.  On 3 separate occasions with PICC placements over the last 2  
years, while utilizing fluro, I have visualized the wire kink, coil,  
etc.  Advancement of the dilator sheath over the wire allowed the  
wire to be removed successfully without trauma (except to the nurse,  
me!).
2.  Unable to pass the sheath (gently) on 2 attempts and I stopped  
and called Radiology.  (Did I mention that this was for discharge and  
that it was 4 PM?)  Arm was wrapped and the patient was transported  
in her bed to specials.

Action:  (short version)
1.  Diagnostic Radiologist started the fluro to determine what was  
going on.  NO coil, kink was present but there was a small backwards  
C to the path of the wire.  Measured 4 cm of wire that was inside the  
skin.  (Now the vein visualized on the ultrasound screen between 1/2  
and 1 cm depth).  He pulled on the wire and the patient came off the  
table.
2.  IR was called in and the reaction was duplicated x 2 when he  
stopped.
3.  Wire was coiled outside the skin, tape applied and tegaderm to  
maintain sterile area.
4.  Transported back to room and attending MD called, with orders to  
obtain "urgent" vascular consult.
5.  Vascular surgeon arrived, held discharge, put her on the OR  
schedule for the next day.
His intent was to "yank it out" (I was present when he told her his  
plan of action ...done it many times, doesn't hurt a thing).

Result:
1.  Surgeon reported to me:
        a.  He was glad that when the dressing was removed and site  
prepared, that he broke the nitinol wire.  He had about 10-12 cm to  
work with.  Because by the wire breaking he had to change his plan.   
Fluro was used, the skin opened, and the vein exposed.  "Never saw  
anything like it!"
        b.  The soft end of the nitinol wire had punctured thru the vein and

wrapped around the nerve.  He was able to release the wire.  Said no  
thrombus formation started, vein looked good, etc.
        c.  She did not demonstrate any nerve damage or numbness to her  
fingers with good ROM.

Good luck guys!
Shirley











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