just wanted to share with you and also ask for your view on access.
A couple of weeks ago I learned that I have multiple myeloma. I have already started chemo (cyclophosphamide) and high doses steroids. The plan is for me to eventually this autumn go through high dose melphalan (chemo) treatment with support from my own frozen stem cells collected just before. I'll get through this, make no mistake. I will be alright!
I wanted to ask you guys if you think that a double lumen 5 French PICC would be the appropriate venous access for me when it is time for high dose melphalan and stem cell support. I believe this should be safer for me than what they usually place, which is a non-tunneled jugular CVC (about 7 Fr, I think). I want to have as small infection risk as possible when my white cell count hits zero. I think that Sheryl McDiarmid's article in Journal of Infusion Nursing from 2006 supports this: Retrospective Evaluation of a Nurse-led Initiative in Vascular Access Options for Autologous Stem Cell Transplant Recipients Ranging From Hickman Catheters to Peripherally Inserted Central Catheters, J Infus Nurs 29(2)81-88. I have good peripheral veins, so the initial cyclophosphamide treatment and also stem cell harvest can be done with PIV's.
Mats in Stockholm