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PICC in arm with hand infection

If a patient has a hand infection and only that arm to use  is PICC placement in the same arm  thought to be appropiate given the situation?  I am interested in hearing peoples thoughts.

Thank you

 

lynncrni
This would be based on your

This would be based on your complete assessment and your judgment about risk vs benefits. Obviously this is not the best situation but sometimes you will be forced to make decisions that are less than ideal. What type of infection- skin, soft tissue, bone? What is the extent of tissue involvement? Any debridements or other surgical procedures? How long has this infection been treated? If there is absolutely no way to use the opposite arm, use of the arm with a hand infection for a PICC may be the best option. Are you certain that a CVAD of some type is needed? 

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

maggiemae
It's a hard call.  If it is

It's a hard call.  If it is an extensive infection in the hand--bone involvement, swelling, poor circulation I may consider discussing a tunnel PICC with the provider on the opposite side.  With the inflammation and immune response in the arm area, i would think there could be an increase risk for DVT formation, or increasing the inflammation up the arm within the vessels.  just a thought.

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