Has anyone ever experienced a pleural effusion with a PICC insertion? There was an incidence in our hospital where the PICC was inserted and was maintained for a week in the CCU. Patient was in the hospital for diverticulitis, she was discharged and later followed up with her surgeon complaining of upper right shoulder pain and chest discomfort. Patient claims that she experienced these symptoms post picc insertion, No staff documented these complaints as well as our unit receiving any complaints either. She went for a chest xray during her MD visit and it was found that she had a pleural effusion (blood). she had no other procedure during her admission and the MD was questioning if the PICC insertion could have caused this incidence. I really could not imagine it, the only possibility I thought of was if the PICC position was proximal up against the vessel and it extravasated due to a vesicant therapy. She was receiving dopamine, but tip position appeared to be in the SVC, not caval atrial though. Anyway if anyone could share there thoughts or come up with some possibilities suggesting it is the PICC would be greatly appreciated.
Thanks sandi kishi