I posted this on another thread but it got buried and I figured most would miss it so I thought I'd repost in under its own topic.
I am having a picc put in this week and starting rocephin. I have a quick question though.
I spoke to the infusion company and they confirmed with my LLMD that they will be doing a picc line but the way it was described to me is that the picc won't go all the way to the heart and therefore won't need an x-ray after inserted.
I didnt ask many questions but she seemed to say that this method is becoming more common and is still a picc line and not a mid line and therefore can last a very long while.
The procedure is done at the LLMD's office and I know that he's prescribed many of these over the years so I don't want to question it, but I just haven't heard anyone mention this type here before.
Any thoughts?
Thanks!
-David
-------------------- Same nightmare, different day! Posts: 401 | From East Coast | Registered: Nov 2005
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tailz
Unregistered
posted
Hmmm, not sure about this one. I had to go to the hospital to get mine inserted. And they did use an x-ray to guide it in.
I know there is a doctor in the area here who inserts his own in his office. Maybe somebody else on here can help you.
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Boomerang
Frequent Contributor (1K+ posts)
Member # 7979
posted
Sorry, david. I'm not familiar with that one. Hubby's did go to the heart, and he was xrayed.
Hopefully someone else will know.
Posts: 1366 | From Southeast | Registered: Sep 2005
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�Midline - shortest version of the PICC. Its tip terminates in the axilla. Blood flow past tip in this locate equals approximately 90 ml per minute.
�Midclavicular - this tip terminates in the subclavian near the center point of the clavicle.
�PICC - longest version. Its tip terminates in the superior vena cava. Blood flow past tip in this location equals approximately 2000 ml per minute.
Note: Midclavicular placement has been known to increase the risk of thrombophlebitis and is avoided if possible."
Posts: 621 | From US | Registered: Jun 2006
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posted
I had a midclav PICC that was inserted at home (no xray) and it was in for 17 months with no problems.
Posts: 443 | From The Wild West | Registered: Jan 2002
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dmc
Frequent Contributor (1K+ posts)
Member # 5102
posted
had same thing (midline)and my llmd said meds all go the same blood, throught the same heart, etc.
One just needs to take more care of the midline.
Posts: 2675 | From ct, usa | Registered: Jan 2004
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posted
Thanks very much for the info. That was very helpful.
It sounds like I am getting a midclav PICC. Andrew- I am glad to hear that you had it for so long without any problems.
Ldfighter-thanks for info on the risk factor. I will certainly ask my doctor about that this week when I have it done. I wonder, though, if each type has its own risks?
My biggest concern would be that this type of picc line does not "work as well" as a regular picc line. In other words, since it doesn't go right to the heart (but to the clavicle instead) does that mean that the rocephin won't work as well?
dmc - you seemed to answer this question for me so I am hoping that you are right!
-David
-------------------- Same nightmare, different day! Posts: 401 | From East Coast | Registered: Nov 2005
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posted
There is no way that a mid-clav PICC doesn't "work as well" as another type.
The type of line depends on the type of medicine being administered. If the medication is extremely caustic (like doxy) it needs to go into a bigger vein.
However, in the case of Rocephin, the mid-clav is fine. (or was when i was having it done a few years back)
And there is NO WAY that it could make the Rocephin "not work as well." Once the med is in the bloodstream, it gets delivered all over the body. Where the line ends will not affect this.
And, I was doing IV push with my rocephin (large syringe, push it in) as opposed to a drip system. Do you know which they will give you?
Like I said, I was pushing in 2 grams every day (then switched to pulsing 4 gms/4 days, rest for 3 days every week) for awhile. I had NO problems with the PICC whatsoever.
Feel free to PM me with any specific questions about the line.
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