No not necessarily. Why is the central line being removed? Is infection suspected or some other complication? Or is this a planned discharge and they want a more user-friendly line for home care? An infected fibrin sheath could contaminate the newly inserted PICC, but there is no published data on this risk. So it is hard to quantify. I would prefer to place the PICC, remove the CVC, and then get the xray because removing the CVC could dislodge the PICC. I have done that in the past. I am sure there are other considerations that escape me now. It is a matter of risk vs benefit for each patient. Lynn
Thank you, that's what I thought. Central line being removed because the patient will be converting to long-term abx and central line only good for another few days. Patient is quad with horrible access. Just want to make sure PICC is placed before eliminating access.
Due to paralysis, a PICC may not be the best VAD for this patient as it will put him at increased risk for thrombosis. A tunneled, cuffed catheter may be more apporpriate. Lynn
No not necessarily. Why is the central line being removed? Is infection suspected or some other complication? Or is this a planned discharge and they want a more user-friendly line for home care? An infected fibrin sheath could contaminate the newly inserted PICC, but there is no published data on this risk. So it is hard to quantify. I would prefer to place the PICC, remove the CVC, and then get the xray because removing the CVC could dislodge the PICC. I have done that in the past. I am sure there are other considerations that escape me now. It is a matter of risk vs benefit for each patient. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Thank you, that's what I thought. Central line being removed because the patient will be converting to long-term abx and central line only good for another few days. Patient is quad with horrible access. Just want to make sure PICC is placed before eliminating access.
Due to paralysis, a PICC may not be the best VAD for this patient as it will put him at increased risk for thrombosis. A tunneled, cuffed catheter may be more apporpriate. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861