There are many patients who have multiple CVADs at the same time. This is compounding the risk of DVT but the types of therapy may indicate the need for both. I would assess which was placed first? Why was the second one placed? What types and numbers of therapy are now required? How has this changed? If the therapy can be safetly delivered with only one CVAD, then that is all that should be placed. It just depends on what is needed. Lynn
There are many patients who have multiple CVADs at the same time. This is compounding the risk of DVT but the types of therapy may indicate the need for both. I would assess which was placed first? Why was the second one placed? What types and numbers of therapy are now required? How has this changed? If the therapy can be safetly delivered with only one CVAD, then that is all that should be placed. It just depends on what is needed. 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
We currently have a young, very sick child that has both. She is receiving TPN, Dopamine & Remodulin. Definitely needs both sites. :-(
Ann Williams RN CRNI
Infusion Specialist
Deaconess Home Infusion
Evansville, IN
We have had many patients with both dialysis catheters and PICCs or CVCs...also (single) ports and PICC/CVC...the need defines the appropriate device.
Keely
Keely Ralston RN-BC, VA-BC, CPUI, RCIS