The arm port placed in the basilic vessel is a 7/8.5 French Have you never seen an arm port? They stay in a lot longer than a PICC line
Is your thrombosis rate over 6%? I doubt it! I do not agree with you. Show me your rate is over 6%! Where is your data in a prospective randomized double blinded study with identical patient parameters in each group of PICC sizes? Show me the data I am tired of this speculation! Kathy Confidentiality Notice: This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cheryl Kelley Sent: Wednesday, October 18, 2006 8:23 PM To: Laura Cook RN; [EMAIL PROTECTED]; Lynn Hadaway Subject: Re: reverse tapering There may not be any clinical evidence published yet, but from a facility that places 5F and 6F tapered lines, I will tell you that yes, we have seen an increase in thrombus in these patients. I am wondering if decreased bleeding at the insertion site is worth the risk that the reverse taper has. It only makes sense to question this as with a 6F catheter that tapers to an 8 or 9F, being placed in the arm, wouldn't that decrease most if not all of the blood flow in the vein at the entry site? This is the area where the endothelium is already sensitive due to the insertion process, also consider the even larger gauge of the introducer in the vessel, for 5-10 cm and to me it is a perfect setup for complications. Just thinking out loud! What do you all think? Cheryl Kelley RN PICC Nurse and Infusion Consultant and PICC Nurse at West Virginia University Hospitals 304-823-3196 or 304-669-3061
