David, I think that Dr. Makis article in Chest from 2005 has something to do with that also!
Robin Bell -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of DAVID LONGSETH Sent: Thursday, October 26, 2006 11:02 AM To: [EMAIL PROTECTED] Subject: Shocking cases re: access Monday,first PICC order of the day. Patient came in severely hypotensive,had a PIV in place from EMS,another placed in ER. Gave her some FFP,fluids, Dopamine. Sent her to the unit,PICC placed. Intensivist came in just as I was in the middle of the insertion and watched while I did it-routine procedure. The doc was surprised it looked so easy. Why? He said the lady had been stuck 7 or 8 times in both groins and the chest in the ER because they wanted a central line--no success. Her INR was 9-point something at the time. Repeatedly doing blind sticks on the lady? Shocking. Second case. PICC patient yesterday,a RN that used to work at a small area hospital. Said that if a patient comes in there with a PICC,there is a doctor or two that will order it D/C'd and place his own central line,saying the risks of infection,embolization and whatever are too high with PICC's. Puh-lease--of course he gets paid a little money to put in his own line,doesn't he? Sounds fishy to me,but then I am a little biased. Have a nice day D
