After a prolonged,unsuccessful bedside PICC attempt that apparently included an arterial puncture,the patient was sent to radiology for placement. The nursing notes were vague,only that 2 nurses tried for 2 hours before the patient was sent to IR. She had a pacemaker in the left,just as an aside.
Picture 1a and 3a show the extensive ecchymosis that resulted from the vessel injuries and prolonged tourniquet time. These were taken a few days after the procedures,and both the patient and staff remarked how much better the arm looked and how much less swelling there was in the hand and fingers,which were also black and blue.
"Does anything hurt?" I asked and had her indicate where she hurt. With the stump of her her right arm,she pointed to the most painful area as best she couldÂ since she'd had her right hand amputated in the past. See 2a.