When we discussed "patient assessment issues" with the Interventional
Radiologists while working on "Best VAD for Every Patient" the number one
selection criteria the was presented by the physician was: "What volume and
rate of infusion do you want/need?" First choice was to place he catheter
that will give high volume for infusions. Hi volume catheters seems to be
an important criteria with physicians.. drilled in during med school or
resident training perhaps...more so than vessel capacity to safely maintain
the patient in a complication-free zone.
Scott
----- Original Message -----
From: "Raye Dillon" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, October 19, 2006 2:46 PM
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
