Clinical Procedure
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In neonates and infants the large curvature of the kit guidewire can cause it to become stuck in the narrow diameter vessels.
A two stage technique with a 3fr PICC conversion kit can help overcome this.
1. Access the vein with a 22g cannula and advance the straight wire and dilator/sheath from the PICC conversion kit.
2. Remove the dilator and wire and insert the larger wire from the vascath kit (it exits the sheath in a more proximal and larger diameter vessel )
3. Use the larger guidewire to run the larger dilator and insert the vacath.
This, in essence, is using the sheath from the PICC conversion kit as a means of delivering the end of the larger curved wire into a more proximal vessel.
A two stage technique with a 3fr PICC conversion kit can help overcome this.
1. Access the vein with a 22g cannula and advance the straight wire and dilator/sheath from the PICC conversion kit.
2. Remove the dilator and wire and insert the larger wire from the vascath kit (it exits the sheath in a more proximal and larger diameter vessel )
3. Use the larger guidewire to run the larger dilator and insert the vacath.
This, in essence, is using the sheath from the PICC conversion kit as a means of delivering the end of the larger curved wire into a more proximal vessel.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
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Jan 21, 2013
When inserting a vascath ensure it is heparin locked.
Even a small delay in getting flow through the vascath may result in clot obstructing the catheter.
Even a small delay in getting flow through the vascath may result in clot obstructing the catheter.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
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Jun 06, 2013