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» LymeNet Flash » Questions and Discussion » Medical Questions » PICC line- alternative to statlock?

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Author Topic: PICC line- alternative to statlock?
MelissaJ
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My husband has a PICC in and is having a reaction to the adhesive, we are switching bandages, but we think an issue is the Statlock adhesive also.

This is his second time on the PICC and we do not recall using the Statlock last time. The home nurse seemed to think we were crazy to not use it. It is a different agency this time and the old one went out of business so we cannot find the old nurse [Frown]

Do you use something else?

Posts: 34 | From Minnesota | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Razzle
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The first PICC I had was sutured instead (no statlock). Maybe your doctor can write orders so he can get his PICC sutured in place?

They don't like to do this, because of the increased risk of infection (can't replace the sutures with every dressing change). But if the site is well cared for, that shouldn't be an issue.

--------------------
-Razzle
Lyme IgM IGeneX Pos. 18+++, 23-25+, 30++, 31+, 34++, 39 IND, 83-93 IND; IgG IGeneX Neg. 30+, 39 IND; Mayo/CDC Pos. IgM 23+, 39+; IgG Mayo/CDC Neg. band 41+; Bart. (clinical dx; Fry Labs neg. for all coinfections), sx >30 yrs.

Posts: 4165 | From WA | Registered: Feb 2011  |  IP: Logged | Report this post to a Moderator
poppy
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Eventually the sutures will pull out, if the line is kept a longer time. But those statlock things are a pain....too hard to unlock them.

I have wondered if a steri-strip could be used instead. Would have to be installed in a sterile way. And they come in packs, so once you open the package, not sterile anymore.

Don't know the answer, but I had this problem too.

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coffee71
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My first PICC line was secured by sutures. It was placed on my left arm. I requested not to use right arm for PICC line and after some "arguing" with RNs they agreed to place it on left arm.

It lasted long time and I did not have any problems with PICC line stitches(two tiny wires on the side).

Second PICC line was placed in different facility, this time in right arm, and they used stat lock. Using sutures for PICC line was not their protocol.

I could not tolerate stat lock so after few weeks I switched to steri-strip recommended by Infuserve and it was a blessing. No issues at all.

I was also allergic to chlorprep (not sure about spelling) so home nurse switched to betadine "sticks".

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terv
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I had a central port and after many dressing allergies ended up with the IV 3000.
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marypart
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Mellisa,

My son got a rash that spread all over his arm, and at one point it even had yellow on the rash. He was allergic to everything.. the tape, the statlock, any kind of plastic or clear tape over the picc setup.

We ended up using a protocol that used nothing but gauze and pressure from rolled gauze, one of those net-like sleeves, and then an ace bandage to keep the whole set-up on. I changed and cleaned it myself every single night.

I'm going to PM you the instructions.

--------------------
Son, 26, Dx Lyme 4/10, Babs 8/10
Had serious arthritis, all gone.
Currently on Valtrex
Daughter, 26,bullseye 7/11
arthritis in knees, cured and off all meds. .
Self:Lyme, bart, sxs gone, no longer treating.

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blinkie1
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I had a similar problem but figured out it was yeast. Got on yeast meds and then I was fine.

--------------------
2 years orals, 2 years IV, 2 years anti-parasitics 95% well on good days. Trouble is, not every day is a good day. Formerly "blinkie"

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MelissaJ
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quote:
Originally posted by marypart:
Mellisa,

My son got a rash that spread all over his arm, and at one point it even had yellow on the rash. He was allergic to everything.. the tape, the statlock, any kind of plastic or clear tape over the picc setup.

We ended up using a protocol that used nothing but gauze and pressure from rolled gauze, one of those net-like sleeves, and then an ace bandage to keep the whole set-up on. I changed and cleaned it myself every single night.

I'm going to PM you the instructions.

Thanks, I tried to PM you back, but your box is full.
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marypart
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I cleaned out my mailbox.

--------------------
Son, 26, Dx Lyme 4/10, Babs 8/10
Had serious arthritis, all gone.
Currently on Valtrex
Daughter, 26,bullseye 7/11
arthritis in knees, cured and off all meds. .
Self:Lyme, bart, sxs gone, no longer treating.

Posts: 496 | From Washington, DC | Registered: Jul 2010  |  IP: Logged | Report this post to a Moderator
Blackstone
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There are multiple options for placement types, adhesives, and dressings as other have mentioned. Those who are having reaction to the tubing or some part of the PICC itself is a bit more tricky, but in many cases this isn't the issue - its often the dressing adhesives.

If you've not already tried them, I highly suggest "Tegaderm" bio-occlusive dressings, especially for covering where the PICC enters the skin. These are perfectly clear, waterproof dressings that also allow airflow so skin can breathe! Some patients that are sensitive to everything else work well with Tegaderm, but they are not part of the "standard" PICC kit in many cases so you may have to ask for them.

If the statlock is causing the issue (note there are multiple versions of statlock, so keep that in mind), and you don't want to get rid of it entirely, it may be possible to "stack" it with Tegaderms so its adhesive never touches your skin. Cutting a small amount of Tegaderm film suitable for the size of the Statlock, apply it to the skin, then place the Statlock itself with its adhesive touching the top (non sticky) part of the Tegaderm - thus, you have the stabilization of the Statlock without its adhesive bothering your skin. You can also place another Tegaderm strip over the top of the statlock if you wish (leaving the access ends available of course) for extra security.

Its possible to do the whole procedure without using any sort of adhesive dressing, as marypart indicates (using gauze etc), but this does mean frequent care and attention, dressing changes etc. However, I suggest that in cases like this to look into a PASport instead (under-skin like a central port, yet periphery located like a PICC.) Much like any other port, it is accessed via a small, specially designed needle (with the hole on the side, rather than the tip,) during IV infusion, but it resides under the skin and thus doesn't require all the procedure necessary (dressings etc) to deal with having a PICC or anything else extruding from the body.

Hope this has been of some help.

Posts: 685 | From East coast, USA | Registered: Jun 2006  |  IP: Logged | Report this post to a Moderator
   

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