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Fri, 05/22/2009 - 06:10

needles

CVC and PICC line lying in the same subclavian vein

I have never seen it done in practice. He has a portacath to the left chest. I place a triple PICC to RUA and the doctor's put in a CVC to right subclavian veinÂ for CVP monitoring yesterday. I am thinking pulling PICC line because that leaves 2 lines in the same subclavian. Any feedback?

Thanks

EJR

Fri, 05/22/2009 - 13:01

Karen Day

just curious, is your triple

just curious, is your triple lumen catheter approved for CVP monitoring (I know Bard Catheters are, but not sure about med-comp - I think these are the only two companies that currently manufacture a triple lumen picc line). If you catheter is, I would recommend pulling the central line as the picc can be left in longer, I would also educate the MD's about your picc lines capabilities. If it is not, its a tough call - how long does the patient need CVP monitoring?

Fri, 05/22/2009 - 14:01

needles

Yes, I discussed with the

Yes, I discussed with the chief surgeon.. Unfortunately, the PICC cannot be used for CVP monitoring secondary to being a SOLO. We'll see what happens from here. Good thing is the surgeon said "Good point!"

Sat, 05/23/2009 - 07:14

Alma Kooistra

I believe SOLOs are labeled

I believe SOLOs are labeled OK for CVP monitoring.

Alma Kooistra RN CRNI

Sat, 05/23/2009 - 07:33

(Reply to #4) #5

needles

At this time, they are only

At this time, they are only approved for trends, not continuous. He needed extra access as well. Just a very sick man. They have all 6 lumens total infusing.

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