I have a Doctor who wants to read a really good study on why PICC tips shouldn't be in the subclavian. I had a MD pull back a line to the subclavian, and when I explained we place them distal SVC, he asked for the study showing why? Please help! I know there are studies out there, I just can't go through every magazine right now Thanks!
Dierks, M and E Whitman, Catheter tip position in the analysis of central venous access devises outcomes. Journal of Vascular Access Devises, 1995. 1(3): p 11-14
I hope I pasted the right one. This one looked at outcomes related to midline, midclavicular, and SVC placed lines.
Also, the position paper (referneced below) is a great one.
Gwen
You can also show him the manufacturer's instructions for use, the FDA guidelines, the CDC and KDOQI guidelines.
In addition, the article that was in JAVA regarding the $7.1 million lawsuit in Florida is another article that clarifies the risks. I think it was Sept 2007
Chris Cavanaugh, RN, BSN, CRNI, VA-BC
Karen McKeon Williford RN, CRNI