Any one have insight on the use of "L lines", we have a smaller hospital in our network that places them. There has been question raised about the use of these. My hospital does not place these, we do midlines and picc lines. Is there data out there about these 'L lines". Thanks
I don't know what type of VAD you are asking about. Is this a tradename for a VAD? How long are they? Where are they inserted and where is the tip located? There are 3 acceptable tip locations - peripheral, midline (which is still in a peripheral vein) and central. Many years ago, PICCs were referred to as long lines but that has gone away. At one time there was a catheter named L-cath, a brandname for a PICC but that company was acquired by BD and now BD has sold all of their PICC products to another company. Sorry, not sure what you are asking about. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Lynn,
The facility that uses them refer these lines as "long lines". They are inserted in the upper arm and the tip is usually in the mid clavicular/subclavian area. I am not sure how they evolved into placing these lines. As for the device name I am not sure. We know that these type of lines are not recognized by INS and we are trying to change their practice.
OK, this tip location was also known as midclavicular and is known for producing serious risks of thrombosis. There was a lawsuit about this in FL that resulted in a +$7 million judgment for the patient. You must continue to work hard to change this practice. Good luck! Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Lynn,
Do you know of any articles/studies supporting this issue of not using these type of lines? Or do you think the INS standards alone would work since there is no mention of "long lines" in the section of Vascular Access Device Selection and Placement.
Complications of Vascular Access Device Terminal Tip Placement ; Moureau & Zonderman
JAVA Spring 2007
Ann Zonderman, BSN, JD, CRNI
You should also look for:
1. Kearns PJ, Coleman S, Wehner JH. Complications of long arm catheters: A randomized trial of central vs peripheral tip location. Journal of Parenteral and Enteral Nutrition. 1996;262(1):20-24.
And go to this site to download an old position paper published by AVA, (NAVAN at thaqt time):
www.avainfo.org/website/download.asp?id=1447
Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861