Well, if the patient is on Vanco, a Midline is definitely NOT an option. To risky, an infiltration of Vanco would not be noticed with a Midline, possibly leading to serious damage. How about a femoral line ending in the IVC? A midline would work if they moved some meds to PO-like Zyvox instead of the Vanco.
Chris Cavanaugh, CRNI -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Roger Soriano Sent: Monday, April 02, 2007 9:34 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: SVC Syndrome Hello again, I am presented with a patient with lung CA and subsequently SVC Syndrome. As a result of this, the pt's extremities are extremely swollen making the pt a very hard stick, thus the PICCLINE request. I understand that catheters in the SVC are contraindicated in this case, would a midline be the only option in this case or are there other options I haven't thougt about? Is it even an option at this point? Pt has numerous meds like steriods, vanco, zosyn and fluids. Thanks in advance. -- Roger Soriano, RN Vascular Access Specialists 818-687-8348 CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient, you may NOT use, disclose, copy or disseminate this information. Please contact the sender by reply e-mail immediately and destroy all copies of the original message including all attachments. Your cooperation is greatly appreciated.
