just because a vein is big enough i dont think justifies putting in something bigger than what is necessary for the therapy. a patient who is just getting abx through a picc or some fluids doesnt need a huge line just because you can get it in there. thats the same mentality that motivates people to put an 18ga in a little old lady just because they can.
>>> "Kokotis, Kathy" <[EMAIL PROTECTED]> 10/19/06 10:34 PM >>> 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 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 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
