I would just like your opinion or some direction toward any evidence, which would collate with this pt's situation.
Pt has had a single lumen, 4fr groshong picc insitu for 12months 3 days.Â Not once has this pt had any adverse experience from the line.Â he occasionally gets some skin irritation from the transparent dx.Â The treating team is wondering should they remove the line as it has now exceeded the indwell time that is indicated for that product.Â The catheter and pt are coexisiting perfectly.Â I suggested that the pt have a venogram done so the central venous flow could be assesed and to see if any colatteral systems had been developed or if there was any evidence of thrombus.Â The venogram results were encouraging, with no evidence of thrombus and only some small areas or colateral vessels in the mid upper arm, which may have already been there as the pt has had previous Picc insertions.
The pt has had a history of difficult access in the past, so to get this line to stay functional as long as it has is remarkable.
Â QUESTION: Should we leave it or lose it?
Hello from Down under ( Brisbane, Australia)
Rachel Muller, Clinical Nurse Consultant, Bard Access Systems