Forum topic

4 posts / 0 new

Wed, 01/30/2019 - 13:31

PWhitehouse

PICC Placement With History of DVT

I am looking for clarification regarding PICC placement when the patient has a known history of DVT in the arm. I am aware it depends not only what vein the clot was in, but where in the vein that clot formed. The question is, does this present a contraindication to using the other arm since the patient is prone to thrombus formation? Lots of studies out there regarding PICC related thrombus, but not really a definitive answer on this specific aspect.

Wed, 01/30/2019 - 14:51

lynncrni

When did first thrombus form

When did first thrombus form and what caused it? Recent? Another PICC? This is not an absolute contraindication. The answer lies in your complete assessment of patient, therapy, venue, and VAD characteristics. All of this should point to the VAD with the least risk of another thrombus. Without all the data from an assessment, it is not really possible to tell you what to use.

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

Fri, 02/15/2019 - 13:17

(Reply to #2) #3

JackDCD

Thanks Lynn,

I find that the policy of staying away from any extremety with any mention of a clot prevails. I, myself, never could wrap my head around WHY that policy exsists or in not a policy, a sentiment shared by VAT's. I'm happy to see you address this.

Fri, 02/15/2019 - 15:01

(Reply to #3) #4

lynncrni

Thanks, been teaching this

Thanks, been teaching this for a long time.