My facility is evaluating new PICC manufactures for Power and Non-power PICC's. Certain manufactures have stiffer lines, possibly contributing to the development DVT's. I would like to get some feedback from the group regarding key points for evaluation of new PICC manufactures: what to look for and what to avoid.
We need:
-Â triple-lumen power and non-power for our ICU patients
- CVP monitoring
- nitinol wire
- full nursing safety kit
I appreciate the responces.
Inna Perfido, RN, BSN
Vascuar Access, Charleston, SC
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
Lynn,
How about Durathane Power PICC's by AngioDynamics? It is a stiffer material in comparison to the Polyurethene catheters by other manufactures.
Inna
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
There differences in the actual size of these polyurethane PICCs though. The Bard power PICCs taper over two French sizes from tip to hub. So the Bard 5 French double lumen power PICC actually is over 7 French near the hub. I believe AngioDynamics make both a non-tapered and a tapered power injectable PICC. Arrow make a power injectable PICC that does not taper. So while the polyurethane material may be the same, be sure and look closely at the actual diameter of the PICC line you choose.
Eric
Eric
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
Kathy Kokotis
Bard Access Systems
Venous thrombosis associated with placement of a PICC - JVIR 2000 - Allen
Nurses's low tech, cepahilic high thrombosis rate of 57%, Basilic 14%, Brachial 10%
3F, 4F, 5F DL catheters and size did not matter with thrombosis
Each patient averaged 3 PICC lines
higher rate with multiple PICC lines
Kathy Kokotis
Bard Access Systems