Came across a pt this week whose contractures were so bad another PICC nurse I work with wouldn't even try. Thought I'd try her cephalics but they were too small so just put in an IV. The pulmonologist couldn't get a triple lumen in her either. Had a strange idea while thinking about it later.... Has anyone out there ever tried putting a patient like that on their abddomen and tried the basilic from underneath? Sounds dumb, but just a thought.Â
Drsg change is what I was thinking of too. We've had a couple PICCs in people with severe contractures, had to have 2 nurses, and in one case sedation, to do drsg changes. What about blood flow? Is this someone at increased risk for thrombus due to nonmovement?
I've put in a couple PICCs where I felt like I was standing on my head, with someone arm holding the pt, not the way you're thinking tho.