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justdance
10-21-2009, 01:19 PM
I am wondering about Picc lines. After two very bad experiences with having ports inserted I have discovered that they are not an option for me. So, since my hospital won't place Picc lines, I am stuck using peripheral canulas. I do iv meds at home maybe once or twice a year so if the line blows I have to go to the ER to get a replacement- not nice. My doc's reasoning is that picc lines are more damaging to the veins.

My question is- do your doctors insert your picc lines in theatre under surgical conditions? Also, do they use uv light or ultrasound to guide them through the vein?

Any feedback would be appreciated, thanks!

justdance
10-21-2009, 01:19 PM
I am wondering about Picc lines. After two very bad experiences with having ports inserted I have discovered that they are not an option for me. So, since my hospital won't place Picc lines, I am stuck using peripheral canulas. I do iv meds at home maybe once or twice a year so if the line blows I have to go to the ER to get a replacement- not nice. My doc's reasoning is that picc lines are more damaging to the veins.

My question is- do your doctors insert your picc lines in theatre under surgical conditions? Also, do they use uv light or ultrasound to guide them through the vein?

Any feedback would be appreciated, thanks!

justdance
10-21-2009, 01:19 PM
I am wondering about Picc lines. After two very bad experiences with having ports inserted I have discovered that they are not an option for me. So, since my hospital won't place Picc lines, I am stuck using peripheral canulas. I do iv meds at home maybe once or twice a year so if the line blows I have to go to the ER to get a replacement- not nice. My doc's reasoning is that picc lines are more damaging to the veins.

My question is- do your doctors insert your picc lines in theatre under surgical conditions? Also, do they use uv light or ultrasound to guide them through the vein?

Any feedback would be appreciated, thanks!

justdance
10-21-2009, 01:19 PM
I am wondering about Picc lines. After two very bad experiences with having ports inserted I have discovered that they are not an option for me. So, since my hospital won't place Picc lines, I am stuck using peripheral canulas. I do iv meds at home maybe once or twice a year so if the line blows I have to go to the ER to get a replacement- not nice. My doc's reasoning is that picc lines are more damaging to the veins.

My question is- do your doctors insert your picc lines in theatre under surgical conditions? Also, do they use uv light or ultrasound to guide them through the vein?

Any feedback would be appreciated, thanks!

justdance
10-21-2009, 01:19 PM
I am wondering about Picc lines. After two very bad experiences with having ports inserted I have discovered that they are not an option for me. So, since my hospital won't place Picc lines, I am stuck using peripheral canulas. I do iv meds at home maybe once or twice a year so if the line blows I have to go to the ER to get a replacement- not nice. My doc's reasoning is that picc lines are more damaging to the veins.
<br />
<br />My question is- do your doctors insert your picc lines in theatre under surgical conditions? Also, do they use uv light or ultrasound to guide them through the vein?
<br />
<br />Any feedback would be appreciated, thanks!

just1more
10-21-2009, 01:38 PM
I can't believe your hospital doesn't do PICCs. This is what they do in my 7 yr old (who is very tough to get an IV or PICC in):

Most of his are put in under mild sedation (propofol) using x-ray by Interventional Radiology.

His last they could not get in and ended up being done under a deeper sedation by a Ped. Cardiologist in his cath. lab.

They did try one time to insert a PICC in-room, using UV light but failed miserably and ended up actually poking an artery on their 3rd AND LAST try.

just1more
10-21-2009, 01:38 PM
I can't believe your hospital doesn't do PICCs. This is what they do in my 7 yr old (who is very tough to get an IV or PICC in):

Most of his are put in under mild sedation (propofol) using x-ray by Interventional Radiology.

His last they could not get in and ended up being done under a deeper sedation by a Ped. Cardiologist in his cath. lab.

They did try one time to insert a PICC in-room, using UV light but failed miserably and ended up actually poking an artery on their 3rd AND LAST try.

just1more
10-21-2009, 01:38 PM
I can't believe your hospital doesn't do PICCs. This is what they do in my 7 yr old (who is very tough to get an IV or PICC in):

Most of his are put in under mild sedation (propofol) using x-ray by Interventional Radiology.

His last they could not get in and ended up being done under a deeper sedation by a Ped. Cardiologist in his cath. lab.

They did try one time to insert a PICC in-room, using UV light but failed miserably and ended up actually poking an artery on their 3rd AND LAST try.

just1more
10-21-2009, 01:38 PM
I can't believe your hospital doesn't do PICCs. This is what they do in my 7 yr old (who is very tough to get an IV or PICC in):

Most of his are put in under mild sedation (propofol) using x-ray by Interventional Radiology.

His last they could not get in and ended up being done under a deeper sedation by a Ped. Cardiologist in his cath. lab.

They did try one time to insert a PICC in-room, using UV light but failed miserably and ended up actually poking an artery on their 3rd AND LAST try.

just1more
10-21-2009, 01:38 PM
I can't believe your hospital doesn't do PICCs. This is what they do in my 7 yr old (who is very tough to get an IV or PICC in):
<br />
<br />Most of his are put in under mild sedation (propofol) using x-ray by Interventional Radiology.
<br />
<br />His last they could not get in and ended up being done under a deeper sedation by a Ped. Cardiologist in his cath. lab.
<br />
<br />They did try one time to insert a PICC in-room, using UV light but failed miserably and ended up actually poking an artery on their 3rd AND LAST try.

AnD
10-21-2009, 01:50 PM
I've had mine placed bedside (in the crook of my elbow), in radiology, and the last one I had placed was with ultrasound, and (whether it was the nurse or the ultrasound technique) it was the easiest placement I've had so far. I can understand not placing midlines, bc of vein damage, but picc lines? I hope you find a solution soon. Good luck.

AnD
10-21-2009, 01:50 PM
I've had mine placed bedside (in the crook of my elbow), in radiology, and the last one I had placed was with ultrasound, and (whether it was the nurse or the ultrasound technique) it was the easiest placement I've had so far. I can understand not placing midlines, bc of vein damage, but picc lines? I hope you find a solution soon. Good luck.

AnD
10-21-2009, 01:50 PM
I've had mine placed bedside (in the crook of my elbow), in radiology, and the last one I had placed was with ultrasound, and (whether it was the nurse or the ultrasound technique) it was the easiest placement I've had so far. I can understand not placing midlines, bc of vein damage, but picc lines? I hope you find a solution soon. Good luck.

AnD
10-21-2009, 01:50 PM
I've had mine placed bedside (in the crook of my elbow), in radiology, and the last one I had placed was with ultrasound, and (whether it was the nurse or the ultrasound technique) it was the easiest placement I've had so far. I can understand not placing midlines, bc of vein damage, but picc lines? I hope you find a solution soon. Good luck.

AnD
10-21-2009, 01:50 PM
I've had mine placed bedside (in the crook of my elbow), in radiology, and the last one I had placed was with ultrasound, and (whether it was the nurse or the ultrasound technique) it was the easiest placement I've had so far. I can understand not placing midlines, bc of vein damage, but picc lines? I hope you find a solution soon. Good luck.

bethylove
10-21-2009, 01:59 PM
I've had several picc lines. Most of them were placed using conscious sedation in Interventional Radiaology - using xray. One or two ultrasounds. Most all the time They use an ultrasound machine before the procedure to look for the vein they want to use. I've had two placed in pediatric ICU by -- I'm just going to call her a Picc line specialist because I don't remember her actual title.

Over time your veins can become damaged from scar tissue and it can become harder to put them in, which is usually when a port is introduced. (To my knowledge).

On a more opinionated note, I think it's ridiculous they are sending you home on IV's without a picc.=( Best of luck to you! hang in there.

bethylove
10-21-2009, 01:59 PM
I've had several picc lines. Most of them were placed using conscious sedation in Interventional Radiaology - using xray. One or two ultrasounds. Most all the time They use an ultrasound machine before the procedure to look for the vein they want to use. I've had two placed in pediatric ICU by -- I'm just going to call her a Picc line specialist because I don't remember her actual title.

Over time your veins can become damaged from scar tissue and it can become harder to put them in, which is usually when a port is introduced. (To my knowledge).

On a more opinionated note, I think it's ridiculous they are sending you home on IV's without a picc.=( Best of luck to you! hang in there.

bethylove
10-21-2009, 01:59 PM
I've had several picc lines. Most of them were placed using conscious sedation in Interventional Radiaology - using xray. One or two ultrasounds. Most all the time They use an ultrasound machine before the procedure to look for the vein they want to use. I've had two placed in pediatric ICU by -- I'm just going to call her a Picc line specialist because I don't remember her actual title.

Over time your veins can become damaged from scar tissue and it can become harder to put them in, which is usually when a port is introduced. (To my knowledge).

On a more opinionated note, I think it's ridiculous they are sending you home on IV's without a picc.=( Best of luck to you! hang in there.

bethylove
10-21-2009, 01:59 PM
I've had several picc lines. Most of them were placed using conscious sedation in Interventional Radiaology - using xray. One or two ultrasounds. Most all the time They use an ultrasound machine before the procedure to look for the vein they want to use. I've had two placed in pediatric ICU by -- I'm just going to call her a Picc line specialist because I don't remember her actual title.

Over time your veins can become damaged from scar tissue and it can become harder to put them in, which is usually when a port is introduced. (To my knowledge).

On a more opinionated note, I think it's ridiculous they are sending you home on IV's without a picc.=( Best of luck to you! hang in there.

bethylove
10-21-2009, 01:59 PM
I've had several picc lines. Most of them were placed using conscious sedation in Interventional Radiaology - using xray. One or two ultrasounds. Most all the time They use an ultrasound machine before the procedure to look for the vein they want to use. I've had two placed in pediatric ICU by -- I'm just going to call her a Picc line specialist because I don't remember her actual title.
<br />
<br />Over time your veins can become damaged from scar tissue and it can become harder to put them in, which is usually when a port is introduced. (To my knowledge).
<br />
<br />On a more opinionated note, I think it's ridiculous they are sending you home on IV's without a picc.=( Best of luck to you! hang in there.

Lance2020x
10-21-2009, 02:45 PM
My brother and I have had quite a few picc-lines and they treat it like a minor surgery. We don't get sedation, they just numb the area of the arm where they are placing the picc. They use an ultrasound machine to find the best entrance spot and to help guide the line in. After it's in we get a paper and go to x-ray where they make sure it went into the proper ports. And that's it! It's not treated as a big deal in any way... If the doctor placing the PICC is good the whole process from lying in the bed to heading to x-ray takes 5 minutes.

I do have a horror story of a doctor I had (that I will never let place a PICC again) where she cut the artery THREE TIMES before she finally called the other doctors over. All the while she was talking to herself saying things like "Okay I'm a little shaken now, let me rest for a second to get my composure... okay here goes! Lets try again! Oh I hit the artery again.... now I'm REALLY shaken.... well one more try..."

Lance2020x
10-21-2009, 02:45 PM
My brother and I have had quite a few picc-lines and they treat it like a minor surgery. We don't get sedation, they just numb the area of the arm where they are placing the picc. They use an ultrasound machine to find the best entrance spot and to help guide the line in. After it's in we get a paper and go to x-ray where they make sure it went into the proper ports. And that's it! It's not treated as a big deal in any way... If the doctor placing the PICC is good the whole process from lying in the bed to heading to x-ray takes 5 minutes.

I do have a horror story of a doctor I had (that I will never let place a PICC again) where she cut the artery THREE TIMES before she finally called the other doctors over. All the while she was talking to herself saying things like "Okay I'm a little shaken now, let me rest for a second to get my composure... okay here goes! Lets try again! Oh I hit the artery again.... now I'm REALLY shaken.... well one more try..."

Lance2020x
10-21-2009, 02:45 PM
My brother and I have had quite a few picc-lines and they treat it like a minor surgery. We don't get sedation, they just numb the area of the arm where they are placing the picc. They use an ultrasound machine to find the best entrance spot and to help guide the line in. After it's in we get a paper and go to x-ray where they make sure it went into the proper ports. And that's it! It's not treated as a big deal in any way... If the doctor placing the PICC is good the whole process from lying in the bed to heading to x-ray takes 5 minutes.

I do have a horror story of a doctor I had (that I will never let place a PICC again) where she cut the artery THREE TIMES before she finally called the other doctors over. All the while she was talking to herself saying things like "Okay I'm a little shaken now, let me rest for a second to get my composure... okay here goes! Lets try again! Oh I hit the artery again.... now I'm REALLY shaken.... well one more try..."

Lance2020x
10-21-2009, 02:45 PM
My brother and I have had quite a few picc-lines and they treat it like a minor surgery. We don't get sedation, they just numb the area of the arm where they are placing the picc. They use an ultrasound machine to find the best entrance spot and to help guide the line in. After it's in we get a paper and go to x-ray where they make sure it went into the proper ports. And that's it! It's not treated as a big deal in any way... If the doctor placing the PICC is good the whole process from lying in the bed to heading to x-ray takes 5 minutes.

I do have a horror story of a doctor I had (that I will never let place a PICC again) where she cut the artery THREE TIMES before she finally called the other doctors over. All the while she was talking to herself saying things like "Okay I'm a little shaken now, let me rest for a second to get my composure... okay here goes! Lets try again! Oh I hit the artery again.... now I'm REALLY shaken.... well one more try..."

Lance2020x
10-21-2009, 02:45 PM
My brother and I have had quite a few picc-lines and they treat it like a minor surgery. We don't get sedation, they just numb the area of the arm where they are placing the picc. They use an ultrasound machine to find the best entrance spot and to help guide the line in. After it's in we get a paper and go to x-ray where they make sure it went into the proper ports. And that's it! It's not treated as a big deal in any way... If the doctor placing the PICC is good the whole process from lying in the bed to heading to x-ray takes 5 minutes.
<br />
<br />I do have a horror story of a doctor I had (that I will never let place a PICC again) where she cut the artery THREE TIMES before she finally called the other doctors over. All the while she was talking to herself saying things like "Okay I'm a little shaken now, let me rest for a second to get my composure... okay here goes! Lets try again! Oh I hit the artery again.... now I'm REALLY shaken.... well one more try..."

JazzysMom
10-21-2009, 05:34 PM
My first 3 were done at bedside in my hospital room by the iv team. Numbing cream was applied. For the most part it went well. It looked like an OR. One time in my left arm they had a problem getting passed a bend in the vein so they had to try again.

After those 3 times the IV team no longer did them & we now get sent to IR where they check with a sonogram to find a vein. Everything else is pretty much the same. The difference is that they give me shots of lidocaine instead of the numbing cream. I havent needed anything to relax me yet, but its coming. Each time becomes more difficult to place a picc. The last 2 times I think they both took 3 tries or more to get it.

I also had one try at home by the home health agency with NO numbing cream. They attempted one time & didnt get it LOL! They didnt get a second chance.

Our clinic has a fundraiser (actually the family of a former doctor who was a CF patient) going to aquire the needed equipment so our CF Clinic can do the picc lines right in the clinic.

Hopefully the funds & purchase will happen soon!

JazzysMom
10-21-2009, 05:34 PM
My first 3 were done at bedside in my hospital room by the iv team. Numbing cream was applied. For the most part it went well. It looked like an OR. One time in my left arm they had a problem getting passed a bend in the vein so they had to try again.

After those 3 times the IV team no longer did them & we now get sent to IR where they check with a sonogram to find a vein. Everything else is pretty much the same. The difference is that they give me shots of lidocaine instead of the numbing cream. I havent needed anything to relax me yet, but its coming. Each time becomes more difficult to place a picc. The last 2 times I think they both took 3 tries or more to get it.

I also had one try at home by the home health agency with NO numbing cream. They attempted one time & didnt get it LOL! They didnt get a second chance.

Our clinic has a fundraiser (actually the family of a former doctor who was a CF patient) going to aquire the needed equipment so our CF Clinic can do the picc lines right in the clinic.

Hopefully the funds & purchase will happen soon!

JazzysMom
10-21-2009, 05:34 PM
My first 3 were done at bedside in my hospital room by the iv team. Numbing cream was applied. For the most part it went well. It looked like an OR. One time in my left arm they had a problem getting passed a bend in the vein so they had to try again.

After those 3 times the IV team no longer did them & we now get sent to IR where they check with a sonogram to find a vein. Everything else is pretty much the same. The difference is that they give me shots of lidocaine instead of the numbing cream. I havent needed anything to relax me yet, but its coming. Each time becomes more difficult to place a picc. The last 2 times I think they both took 3 tries or more to get it.

I also had one try at home by the home health agency with NO numbing cream. They attempted one time & didnt get it LOL! They didnt get a second chance.

Our clinic has a fundraiser (actually the family of a former doctor who was a CF patient) going to aquire the needed equipment so our CF Clinic can do the picc lines right in the clinic.

Hopefully the funds & purchase will happen soon!

JazzysMom
10-21-2009, 05:34 PM
My first 3 were done at bedside in my hospital room by the iv team. Numbing cream was applied. For the most part it went well. It looked like an OR. One time in my left arm they had a problem getting passed a bend in the vein so they had to try again.

After those 3 times the IV team no longer did them & we now get sent to IR where they check with a sonogram to find a vein. Everything else is pretty much the same. The difference is that they give me shots of lidocaine instead of the numbing cream. I havent needed anything to relax me yet, but its coming. Each time becomes more difficult to place a picc. The last 2 times I think they both took 3 tries or more to get it.

I also had one try at home by the home health agency with NO numbing cream. They attempted one time & didnt get it LOL! They didnt get a second chance.

Our clinic has a fundraiser (actually the family of a former doctor who was a CF patient) going to aquire the needed equipment so our CF Clinic can do the picc lines right in the clinic.

Hopefully the funds & purchase will happen soon!

JazzysMom
10-21-2009, 05:34 PM
My first 3 were done at bedside in my hospital room by the iv team. Numbing cream was applied. For the most part it went well. It looked like an OR. One time in my left arm they had a problem getting passed a bend in the vein so they had to try again.
<br />
<br />After those 3 times the IV team no longer did them & we now get sent to IR where they check with a sonogram to find a vein. Everything else is pretty much the same. The difference is that they give me shots of lidocaine instead of the numbing cream. I havent needed anything to relax me yet, but its coming. Each time becomes more difficult to place a picc. The last 2 times I think they both took 3 tries or more to get it.
<br />
<br />I also had one try at home by the home health agency with NO numbing cream. They attempted one time & didnt get it LOL! They didnt get a second chance.
<br />
<br />Our clinic has a fundraiser (actually the family of a former doctor who was a CF patient) going to aquire the needed equipment so our CF Clinic can do the picc lines right in the clinic.
<br />
<br />Hopefully the funds & purchase will happen soon!

Havoc
10-21-2009, 11:06 PM
My first they used a nice superficial vein (cephalic). It was a breeze, they slid a 5fr right in. My 2nd PICC they accessed the Basilic with ultrasonography. I can say that this was much more traumatic and even with the ultrasound they were unsuccessful on the first attempt. I guess I can understand going for larger, deeper veins in people who are notoriously hard to access, but for those of us with pipeline veins close to the surface, I don't see the point. I'm a big fan of taking the path of least resistance.

I have also run into 2 patients in the course of my normal work routine who have had lots of problems with their ultrasound PICC placements. I can assure you if I ever have to have a PICC placed again, they won't be digging around with ultrasound. I'll do my own peripheral lines first.

Havoc
10-21-2009, 11:06 PM
My first they used a nice superficial vein (cephalic). It was a breeze, they slid a 5fr right in. My 2nd PICC they accessed the Basilic with ultrasonography. I can say that this was much more traumatic and even with the ultrasound they were unsuccessful on the first attempt. I guess I can understand going for larger, deeper veins in people who are notoriously hard to access, but for those of us with pipeline veins close to the surface, I don't see the point. I'm a big fan of taking the path of least resistance.

I have also run into 2 patients in the course of my normal work routine who have had lots of problems with their ultrasound PICC placements. I can assure you if I ever have to have a PICC placed again, they won't be digging around with ultrasound. I'll do my own peripheral lines first.

Havoc
10-21-2009, 11:06 PM
My first they used a nice superficial vein (cephalic). It was a breeze, they slid a 5fr right in. My 2nd PICC they accessed the Basilic with ultrasonography. I can say that this was much more traumatic and even with the ultrasound they were unsuccessful on the first attempt. I guess I can understand going for larger, deeper veins in people who are notoriously hard to access, but for those of us with pipeline veins close to the surface, I don't see the point. I'm a big fan of taking the path of least resistance.

I have also run into 2 patients in the course of my normal work routine who have had lots of problems with their ultrasound PICC placements. I can assure you if I ever have to have a PICC placed again, they won't be digging around with ultrasound. I'll do my own peripheral lines first.

Havoc
10-21-2009, 11:06 PM
My first they used a nice superficial vein (cephalic). It was a breeze, they slid a 5fr right in. My 2nd PICC they accessed the Basilic with ultrasonography. I can say that this was much more traumatic and even with the ultrasound they were unsuccessful on the first attempt. I guess I can understand going for larger, deeper veins in people who are notoriously hard to access, but for those of us with pipeline veins close to the surface, I don't see the point. I'm a big fan of taking the path of least resistance.

I have also run into 2 patients in the course of my normal work routine who have had lots of problems with their ultrasound PICC placements. I can assure you if I ever have to have a PICC placed again, they won't be digging around with ultrasound. I'll do my own peripheral lines first.

Havoc
10-21-2009, 11:06 PM
My first they used a nice superficial vein (cephalic). It was a breeze, they slid a 5fr right in. My 2nd PICC they accessed the Basilic with ultrasonography. I can say that this was much more traumatic and even with the ultrasound they were unsuccessful on the first attempt. I guess I can understand going for larger, deeper veins in people who are notoriously hard to access, but for those of us with pipeline veins close to the surface, I don't see the point. I'm a big fan of taking the path of least resistance.
<br />
<br />I have also run into 2 patients in the course of my normal work routine who have had lots of problems with their ultrasound PICC placements. I can assure you if I ever have to have a PICC placed again, they won't be digging around with ultrasound. I'll do my own peripheral lines first.

saveferris2009
10-22-2009, 12:01 AM
I have mine placed bedside.

The inject numbing creme in the area after using a sonogram bedside to determine where the PICC will go.

It looks like an OR.

I'm a weenie so I get a benzo usually to calm my nerves <img src="i/expressions/face-icon-small-smile.gif" border="0">

saveferris2009
10-22-2009, 12:01 AM
I have mine placed bedside.

The inject numbing creme in the area after using a sonogram bedside to determine where the PICC will go.

It looks like an OR.

I'm a weenie so I get a benzo usually to calm my nerves <img src="i/expressions/face-icon-small-smile.gif" border="0">

saveferris2009
10-22-2009, 12:01 AM
I have mine placed bedside.

The inject numbing creme in the area after using a sonogram bedside to determine where the PICC will go.

It looks like an OR.

I'm a weenie so I get a benzo usually to calm my nerves <img src="i/expressions/face-icon-small-smile.gif" border="0">

saveferris2009
10-22-2009, 12:01 AM
I have mine placed bedside.

The inject numbing creme in the area after using a sonogram bedside to determine where the PICC will go.

It looks like an OR.

I'm a weenie so I get a benzo usually to calm my nerves <img src="i/expressions/face-icon-small-smile.gif" border="0">

saveferris2009
10-22-2009, 12:01 AM
I have mine placed bedside.
<br />
<br />The inject numbing creme in the area after using a sonogram bedside to determine where the PICC will go.
<br />
<br />It looks like an OR.
<br />
<br />I'm a weenie so I get a benzo usually to calm my nerves <img src="i/expressions/face-icon-small-smile.gif" border="0">

MMBinNC
10-22-2009, 07:10 AM
My PICC line placements are always without sedation after a problem that I had with sedation. They just numb the area of the arm where they are placing the PICC. Lately they have been using an ultrasound to put the line in a better place- my bicep. Its real easy because I have huge veins- the nurse actually said that the trainees should practice on me because my veins are so large and easy. It real short

MMBinNC
10-22-2009, 07:10 AM
My PICC line placements are always without sedation after a problem that I had with sedation. They just numb the area of the arm where they are placing the PICC. Lately they have been using an ultrasound to put the line in a better place- my bicep. Its real easy because I have huge veins- the nurse actually said that the trainees should practice on me because my veins are so large and easy. It real short

MMBinNC
10-22-2009, 07:10 AM
My PICC line placements are always without sedation after a problem that I had with sedation. They just numb the area of the arm where they are placing the PICC. Lately they have been using an ultrasound to put the line in a better place- my bicep. Its real easy because I have huge veins- the nurse actually said that the trainees should practice on me because my veins are so large and easy. It real short

MMBinNC
10-22-2009, 07:10 AM
My PICC line placements are always without sedation after a problem that I had with sedation. They just numb the area of the arm where they are placing the PICC. Lately they have been using an ultrasound to put the line in a better place- my bicep. Its real easy because I have huge veins- the nurse actually said that the trainees should practice on me because my veins are so large and easy. It real short

MMBinNC
10-22-2009, 07:10 AM
My PICC line placements are always without sedation after a problem that I had with sedation. They just numb the area of the arm where they are placing the PICC. Lately they have been using an ultrasound to put the line in a better place- my bicep. Its real easy because I have huge veins- the nurse actually said that the trainees should practice on me because my veins are so large and easy. It real short

justdance
10-22-2009, 06:15 PM
I've had a sneaking suspicion that it is unusual for my docs to be so against them...now it's not so sneaking!

When I raise the issue my, normally friendly and gentle, consultant gets very tetchy and a bit over-bearing. He is dead set against them. The sad thing is I think it's because the hospital does not want to put the resources into making PICCs a regular option for the 90-100 cfers they service. It's like peripherals or ports, there's your option.

It may seem a bit out there to be allowed home with a canula but last two times on ivs my one canula lasted the whole two weeks!!! A talented oncology nurse inserted it both times and wrapped it really well.

Once a doctor was trying to access my veins and after a while he gave up, slightly miffed, saying I was his very first failed attempt! <img src="i/expressions/face-icon-small-sad.gif" border="0"> I have narrow veins, that are buried really deep down, my skin is tan which makes it hard to see them and even when you find them they tend to curl...what a crazy thing to know about myself- I have curly veins! Ha! All I can do is laugh...I'm due a tune-up soon enough and I'm praying it will go smoothly.

Thanks for all your nuggets!

justdance
10-22-2009, 06:15 PM
I've had a sneaking suspicion that it is unusual for my docs to be so against them...now it's not so sneaking!

When I raise the issue my, normally friendly and gentle, consultant gets very tetchy and a bit over-bearing. He is dead set against them. The sad thing is I think it's because the hospital does not want to put the resources into making PICCs a regular option for the 90-100 cfers they service. It's like peripherals or ports, there's your option.

It may seem a bit out there to be allowed home with a canula but last two times on ivs my one canula lasted the whole two weeks!!! A talented oncology nurse inserted it both times and wrapped it really well.

Once a doctor was trying to access my veins and after a while he gave up, slightly miffed, saying I was his very first failed attempt! <img src="i/expressions/face-icon-small-sad.gif" border="0"> I have narrow veins, that are buried really deep down, my skin is tan which makes it hard to see them and even when you find them they tend to curl...what a crazy thing to know about myself- I have curly veins! Ha! All I can do is laugh...I'm due a tune-up soon enough and I'm praying it will go smoothly.

Thanks for all your nuggets!

justdance
10-22-2009, 06:15 PM
I've had a sneaking suspicion that it is unusual for my docs to be so against them...now it's not so sneaking!

When I raise the issue my, normally friendly and gentle, consultant gets very tetchy and a bit over-bearing. He is dead set against them. The sad thing is I think it's because the hospital does not want to put the resources into making PICCs a regular option for the 90-100 cfers they service. It's like peripherals or ports, there's your option.

It may seem a bit out there to be allowed home with a canula but last two times on ivs my one canula lasted the whole two weeks!!! A talented oncology nurse inserted it both times and wrapped it really well.

Once a doctor was trying to access my veins and after a while he gave up, slightly miffed, saying I was his very first failed attempt! <img src="i/expressions/face-icon-small-sad.gif" border="0"> I have narrow veins, that are buried really deep down, my skin is tan which makes it hard to see them and even when you find them they tend to curl...what a crazy thing to know about myself- I have curly veins! Ha! All I can do is laugh...I'm due a tune-up soon enough and I'm praying it will go smoothly.

Thanks for all your nuggets!

justdance
10-22-2009, 06:15 PM
I've had a sneaking suspicion that it is unusual for my docs to be so against them...now it's not so sneaking!

When I raise the issue my, normally friendly and gentle, consultant gets very tetchy and a bit over-bearing. He is dead set against them. The sad thing is I think it's because the hospital does not want to put the resources into making PICCs a regular option for the 90-100 cfers they service. It's like peripherals or ports, there's your option.

It may seem a bit out there to be allowed home with a canula but last two times on ivs my one canula lasted the whole two weeks!!! A talented oncology nurse inserted it both times and wrapped it really well.

Once a doctor was trying to access my veins and after a while he gave up, slightly miffed, saying I was his very first failed attempt! <img src="i/expressions/face-icon-small-sad.gif" border="0"> I have narrow veins, that are buried really deep down, my skin is tan which makes it hard to see them and even when you find them they tend to curl...what a crazy thing to know about myself- I have curly veins! Ha! All I can do is laugh...I'm due a tune-up soon enough and I'm praying it will go smoothly.

Thanks for all your nuggets!

justdance
10-22-2009, 06:15 PM
I've had a sneaking suspicion that it is unusual for my docs to be so against them...now it's not so sneaking!
<br />
<br />When I raise the issue my, normally friendly and gentle, consultant gets very tetchy and a bit over-bearing. He is dead set against them. The sad thing is I think it's because the hospital does not want to put the resources into making PICCs a regular option for the 90-100 cfers they service. It's like peripherals or ports, there's your option.
<br />
<br />It may seem a bit out there to be allowed home with a canula but last two times on ivs my one canula lasted the whole two weeks!!! A talented oncology nurse inserted it both times and wrapped it really well.
<br />
<br />Once a doctor was trying to access my veins and after a while he gave up, slightly miffed, saying I was his very first failed attempt! <img src="i/expressions/face-icon-small-sad.gif" border="0"> I have narrow veins, that are buried really deep down, my skin is tan which makes it hard to see them and even when you find them they tend to curl...what a crazy thing to know about myself- I have curly veins! Ha! All I can do is laugh...I'm due a tune-up soon enough and I'm praying it will go smoothly.
<br />
<br />Thanks for all your nuggets!

flossymay
10-22-2009, 09:40 PM
i've had many picc lines. i always get them so i can go home to finsih my meds. each time i get one is different. i always had them done bedside. (not anymore)
my horror story. the guy doing the picc placement was training and talking while doing it. i had had them so many times i was used to it. so i was calm and fine. then all of a sudden i couldnt breathe, i blacked out, and seized up like i was about to have a seizure. he jerked the picc out and i came back to normal. he had placed it in too far.
they all tried to tell me it was a panic attack. my CF team knew better, he had placed it in too far. its supose to be a normal risk. so i had to go to a place where they used dye to find the veins...im not really sure what it was called, but it went alot smoother, and i will never get it done bedside again!

flossymay
10-22-2009, 09:40 PM
i've had many picc lines. i always get them so i can go home to finsih my meds. each time i get one is different. i always had them done bedside. (not anymore)
my horror story. the guy doing the picc placement was training and talking while doing it. i had had them so many times i was used to it. so i was calm and fine. then all of a sudden i couldnt breathe, i blacked out, and seized up like i was about to have a seizure. he jerked the picc out and i came back to normal. he had placed it in too far.
they all tried to tell me it was a panic attack. my CF team knew better, he had placed it in too far. its supose to be a normal risk. so i had to go to a place where they used dye to find the veins...im not really sure what it was called, but it went alot smoother, and i will never get it done bedside again!

flossymay
10-22-2009, 09:40 PM
i've had many picc lines. i always get them so i can go home to finsih my meds. each time i get one is different. i always had them done bedside. (not anymore)
my horror story. the guy doing the picc placement was training and talking while doing it. i had had them so many times i was used to it. so i was calm and fine. then all of a sudden i couldnt breathe, i blacked out, and seized up like i was about to have a seizure. he jerked the picc out and i came back to normal. he had placed it in too far.
they all tried to tell me it was a panic attack. my CF team knew better, he had placed it in too far. its supose to be a normal risk. so i had to go to a place where they used dye to find the veins...im not really sure what it was called, but it went alot smoother, and i will never get it done bedside again!

flossymay
10-22-2009, 09:40 PM
i've had many picc lines. i always get them so i can go home to finsih my meds. each time i get one is different. i always had them done bedside. (not anymore)
my horror story. the guy doing the picc placement was training and talking while doing it. i had had them so many times i was used to it. so i was calm and fine. then all of a sudden i couldnt breathe, i blacked out, and seized up like i was about to have a seizure. he jerked the picc out and i came back to normal. he had placed it in too far.
they all tried to tell me it was a panic attack. my CF team knew better, he had placed it in too far. its supose to be a normal risk. so i had to go to a place where they used dye to find the veins...im not really sure what it was called, but it went alot smoother, and i will never get it done bedside again!

flossymay
10-22-2009, 09:40 PM
i've had many picc lines. i always get them so i can go home to finsih my meds. each time i get one is different. i always had them done bedside. (not anymore)
<br />my horror story. the guy doing the picc placement was training and talking while doing it. i had had them so many times i was used to it. so i was calm and fine. then all of a sudden i couldnt breathe, i blacked out, and seized up like i was about to have a seizure. he jerked the picc out and i came back to normal. he had placed it in too far.
<br />they all tried to tell me it was a panic attack. my CF team knew better, he had placed it in too far. its supose to be a normal risk. so i had to go to a place where they used dye to find the veins...im not really sure what it was called, but it went alot smoother, and i will never get it done bedside again!

Jana
10-22-2009, 09:55 PM
I've had them several different ways.

My first was placed in an oncology office by a nurse (in the crook of my arm). It took two attempts, but the second one went in quite easily. They used numbing cream.

My second was placed in interventional radiology. This was my very worst experience. For three hours, they stuck me and finally were reduced to cutting down to deeper veins. They tried up and down both arms. Each time, they would get it partially threaded, and the vein would close up. Two different people tried. Eventually, they said it would be the last try since there were no more options for sites, and that one sailed right in. Afterwards, the nurse told me--"I've seen some bad PICC placements, but never anything like that!"

After that, all of them were done bedside by a member of the PICC line team at the hospital. One lady put it right in on the first try two different times. The other ones all took multiple attempts but did eventually get them in. The last one was finally done with no lidocaine because my veins seemed to stay open better that way. It really wasn't too bad.

Needless to say, I love my mediport!

Jana
10-22-2009, 09:55 PM
I've had them several different ways.

My first was placed in an oncology office by a nurse (in the crook of my arm). It took two attempts, but the second one went in quite easily. They used numbing cream.

My second was placed in interventional radiology. This was my very worst experience. For three hours, they stuck me and finally were reduced to cutting down to deeper veins. They tried up and down both arms. Each time, they would get it partially threaded, and the vein would close up. Two different people tried. Eventually, they said it would be the last try since there were no more options for sites, and that one sailed right in. Afterwards, the nurse told me--"I've seen some bad PICC placements, but never anything like that!"

After that, all of them were done bedside by a member of the PICC line team at the hospital. One lady put it right in on the first try two different times. The other ones all took multiple attempts but did eventually get them in. The last one was finally done with no lidocaine because my veins seemed to stay open better that way. It really wasn't too bad.

Needless to say, I love my mediport!

Jana
10-22-2009, 09:55 PM
I've had them several different ways.

My first was placed in an oncology office by a nurse (in the crook of my arm). It took two attempts, but the second one went in quite easily. They used numbing cream.

My second was placed in interventional radiology. This was my very worst experience. For three hours, they stuck me and finally were reduced to cutting down to deeper veins. They tried up and down both arms. Each time, they would get it partially threaded, and the vein would close up. Two different people tried. Eventually, they said it would be the last try since there were no more options for sites, and that one sailed right in. Afterwards, the nurse told me--"I've seen some bad PICC placements, but never anything like that!"

After that, all of them were done bedside by a member of the PICC line team at the hospital. One lady put it right in on the first try two different times. The other ones all took multiple attempts but did eventually get them in. The last one was finally done with no lidocaine because my veins seemed to stay open better that way. It really wasn't too bad.

Needless to say, I love my mediport!

Jana
10-22-2009, 09:55 PM
I've had them several different ways.

My first was placed in an oncology office by a nurse (in the crook of my arm). It took two attempts, but the second one went in quite easily. They used numbing cream.

My second was placed in interventional radiology. This was my very worst experience. For three hours, they stuck me and finally were reduced to cutting down to deeper veins. They tried up and down both arms. Each time, they would get it partially threaded, and the vein would close up. Two different people tried. Eventually, they said it would be the last try since there were no more options for sites, and that one sailed right in. Afterwards, the nurse told me--"I've seen some bad PICC placements, but never anything like that!"

After that, all of them were done bedside by a member of the PICC line team at the hospital. One lady put it right in on the first try two different times. The other ones all took multiple attempts but did eventually get them in. The last one was finally done with no lidocaine because my veins seemed to stay open better that way. It really wasn't too bad.

Needless to say, I love my mediport!

Jana
10-22-2009, 09:55 PM
I've had them several different ways.
<br />
<br />My first was placed in an oncology office by a nurse (in the crook of my arm). It took two attempts, but the second one went in quite easily. They used numbing cream.
<br />
<br />My second was placed in interventional radiology. This was my very worst experience. For three hours, they stuck me and finally were reduced to cutting down to deeper veins. They tried up and down both arms. Each time, they would get it partially threaded, and the vein would close up. Two different people tried. Eventually, they said it would be the last try since there were no more options for sites, and that one sailed right in. Afterwards, the nurse told me--"I've seen some bad PICC placements, but never anything like that!"
<br />
<br />After that, all of them were done bedside by a member of the PICC line team at the hospital. One lady put it right in on the first try two different times. The other ones all took multiple attempts but did eventually get them in. The last one was finally done with no lidocaine because my veins seemed to stay open better that way. It really wasn't too bad.
<br />
<br />Needless to say, I love my mediport!

JenDiS
10-23-2009, 02:46 PM
ive done both surgical and ultrasound to get my piccs placed in...they can do alot of damage if you get them placed every couple months like i had to get....they caused scarring on my veins.

JenDiS
10-23-2009, 02:46 PM
ive done both surgical and ultrasound to get my piccs placed in...they can do alot of damage if you get them placed every couple months like i had to get....they caused scarring on my veins.

JenDiS
10-23-2009, 02:46 PM
ive done both surgical and ultrasound to get my piccs placed in...they can do alot of damage if you get them placed every couple months like i had to get....they caused scarring on my veins.

JenDiS
10-23-2009, 02:46 PM
ive done both surgical and ultrasound to get my piccs placed in...they can do alot of damage if you get them placed every couple months like i had to get....they caused scarring on my veins.

JenDiS
10-23-2009, 02:46 PM
ive done both surgical and ultrasound to get my piccs placed in...they can do alot of damage if you get them placed every couple months like i had to get....they caused scarring on my veins.

mamerth
10-24-2009, 11:32 PM
I just had a PICC a few weeks ago. They did it in the radiology department. The numbing shot hurt worse than anything... hardly felt the PICC line get inserted. Hubby got to sit with me the entire time. I think the whole process took them 10 minutes maximum. I didn't have much time to get scared. It took the nurse only one try... very smooth and simple.

mamerth
10-24-2009, 11:32 PM
I just had a PICC a few weeks ago. They did it in the radiology department. The numbing shot hurt worse than anything... hardly felt the PICC line get inserted. Hubby got to sit with me the entire time. I think the whole process took them 10 minutes maximum. I didn't have much time to get scared. It took the nurse only one try... very smooth and simple.

mamerth
10-24-2009, 11:32 PM
I just had a PICC a few weeks ago. They did it in the radiology department. The numbing shot hurt worse than anything... hardly felt the PICC line get inserted. Hubby got to sit with me the entire time. I think the whole process took them 10 minutes maximum. I didn't have much time to get scared. It took the nurse only one try... very smooth and simple.

mamerth
10-24-2009, 11:32 PM
I just had a PICC a few weeks ago. They did it in the radiology department. The numbing shot hurt worse than anything... hardly felt the PICC line get inserted. Hubby got to sit with me the entire time. I think the whole process took them 10 minutes maximum. I didn't have much time to get scared. It took the nurse only one try... very smooth and simple.

mamerth
10-24-2009, 11:32 PM
I just had a PICC a few weeks ago. They did it in the radiology department. The numbing shot hurt worse than anything... hardly felt the PICC line get inserted. Hubby got to sit with me the entire time. I think the whole process took them 10 minutes maximum. I didn't have much time to get scared. It took the nurse only one try... very smooth and simple.