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PICC lines through scalp veins.


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Hi all:

We try to place PICC lines in upper extremities, if difficult then we go to lower extremities ..

Sometimes scalp veins look very "tempting" to advance them through ..

My Question for you:

Do you have any advice in sense of indications, contraindications, complications etc ??



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I tried once and was successful when I was a Royal North Shore, Sydney. All I needed was a good assistant who can stretch the skin when it comes to the angle of mandible and the neck bcos it was difficult to maneuver there. the risk am not sure (always look at risk - outcome benefit).

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