Have a patient that had an IV from the ER when admitted to Medical floor, IV was infiltrated upon admission and promptly d/c'd. I was called to come assess for new PIV which I did with ultrasound to ensure vein size etc. Found a nice vein in left anterior forearm and started with ultrasound guidance with no difficulty at all. Obtained nice blood return and advanced catheter when I attached the extension set and checked for blood return it was still excellent and line flushed with no difficulty or pain for the patient. I was called minutes after I left the floor that the vein had blown upon flush per floor nurse. Patient states she has had the same problem in the past no matter how many times they re-started her IV's so I opted not to attempt again and notify the physician for alternate route for pain medication. The problem....this patient will likely go to surgery and now has no access. Is a PICC going to have the same outcome or possibly damage the vein as it is being advanced? should anesthesia opt for an IJ?