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Hi,

Does anyone have any best practice documentaion/studies on placing PICC lines or Midlines in quadriplegic patients?  I have always avoided "non-mobile" extremities for PICC line and Midline placement.  The INS Policies and Procedures for Infusion Therapy, p 78 --"Relative contraindications to PICC placement include upper extremity edema; limited mobility; ...."(and the same in for Midline, p 68)   Can anyone help?  Physicians are pressuring for articles or studies to support this.  

Thank you,

Dawn M