Maybe your radiologist is comparing the size of the vein and blood flow
umder fluoro when they are choosing.  They have real time toys you do
not have
kathy 


 
 
 
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-----Original Message-----

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Raye Dillon
Sent: Thursday, October 19, 2006 5:47 PM
To: [EMAIL PROTECTED]
Subject: Re: reverse tapering

i agree with you. i work on peds and we almost never use anything larger
than a 3fr if the nurse inserts but when we send kids to IR for
placement (when one of our staff is not available) they come back with
garden hoses 4s 5s and sometimes 6s. that is totally unnecessary.

>>> <[EMAIL PROTECTED]> 10/19/06 9:21 AM >>>
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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