I think we all need to look at why we think bigger is better. These large 5 and 6 Fr caths are causing more thrombosis. What is wrong with the 4fr being the norm. unless we need double lumen caths. I am truly concerned when I read that there is now a triple lumen PICC. This is especially true in the elderly where the veins are smaller.
 
Raina Pegg RN

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