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From: "Gwen Irwin" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: Re: Painful vein entry
Date: Thu, 26 Oct 2006 20:07:03 -0500
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
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