tag:blogger.com,1999:blog-14743001.post735731191391553882..comments2024-01-02T02:45:17.328-06:00Comments on Notes from Dr. RW: Overuse of PICCs in CKD patientsRobert W Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-14743001.post-50793120305619494902013-04-29T07:31:17.785-05:002013-04-29T07:31:17.785-05:00I believe that the current recommendation is that ...I believe that the current recommendation is that if long-term IV access is deemed absolutely necessary in these patients, one may consider a small bore IJ tunneled catheter as opposed to a PICC. Anonymoushttps://www.blogger.com/profile/03527791853779510006noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-41440922116888150822013-04-28T11:20:51.817-05:002013-04-28T11:20:51.817-05:00I spoke about this during ASN Kidney Week 2007 in ...I spoke about this during ASN Kidney Week 2007 in SF. Here's a couple of resources:<br /><br />http://www.therenalnetwork.org/qi/resources/HospitalSystemChangeConcept_Tools/GuidelinesForPICCAvoidanceInChronicKidneyDisease-TipSheet.pdf<br /><br />http://www.uphs.upenn.edu/renal/important%20pdf%20III/Saad-Vesely%20venous%20access.pdfAnonymoushttps://www.blogger.com/profile/03527791853779510006noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-60284337680572597922013-04-28T10:30:20.243-05:002013-04-28T10:30:20.243-05:00Very interesting and something I had never conside...Very interesting and something I had never considered. As an anesthesiologist, I'm often grateful for PICCs because these patients usually have difficult IV access, and the PICC allows me to induce anesthesia and then secure a higher flow IV once the veins dilate. I wish the authors had commented on what other options should be considered, because I think often in these patients, there hhhttps://www.blogger.com/profile/03593003451885210244noreply@blogger.com