Re: Painful vein entry

[Gwen Irwin]

I would agree if it only happened with brachial vein access, but it isn't.  They don't complain of the "electric" feeling going toward the hand with nerve stimulation.  With basilic vein entry very clear of any other vessel, we have seen this happen numerous times.  When it happens, we have a very clear image on the ultrasound that it occurs before any dimpling of the basilic vein. Do we have weird patients?  I don't think so.  We do find it interesting, because these patients will vasoconstrict quickly, if we don't proceed to vein access in spite of their complaint of pain.  Stopping to administer more lidocaine has not been successful, so we now proceed to vein access.   Gwen Irwin Austin, Texas ----- Original Message ----- From: Cheryl Kelley To: Gwen Irwin ; [EMAIL PROTECTED] Sent: Thursday, October 26, 2006 1:26 PM Subject: Re: Painful vein entry Consider that the intense pain they are feeling when getting near the vessel, especially with the brachial area, may be the nerve bundle.      Cheryl Kelley RN PICC Nurse and Infusion Consultant                     and PICC Nurse at West Virginia University Hospitals 304-823-3196    or     304-669-3061