Aedi Budi Dharma Posted July 25, 2020 Share Posted July 25, 2020 Greetings everyone Do you draw blood samples from PICC line? 1 Link to comment Share on other sites More sharing options...
Stefan Johansson Posted July 28, 2020 Share Posted July 28, 2020 We practically only use our PICC lines for parenteral nutrition. The small diameter (28G) only makes it possible to infuse only. 1 Link to comment Share on other sites More sharing options...
99nicu.org Posted July 28, 2020 Share Posted July 28, 2020 From Twitter! Link to comment Share on other sites More sharing options...
Aedi Budi Dharma Posted July 28, 2020 Author Share Posted July 28, 2020 Thank you very much indeed. Link to comment Share on other sites More sharing options...
Stefan Johansson Posted July 28, 2020 Share Posted July 28, 2020 More from Twitter! @Aedi Budi Dharma - as reply to your question about blood products, we don't use PICC lines for plasma or blood, the lumen of our PICC lines would clot. Link to comment Share on other sites More sharing options...
Guest marcydf Posted July 28, 2020 Share Posted July 28, 2020 When i was in troubles I did blood samples through 24G lines. Then I washed with 2 U of heparin/ml saline. Never used for any transfusion. Link to comment Share on other sites More sharing options...
Helmut Posted August 9, 2020 Share Posted August 9, 2020 Considering hygiene you should not do it, but I do it 1. if I need a blood culture and the line may be responsible for the infection, 2. if I need blood and the PICC line is about to be withdrawn, 3. in emergencies. The technique is to withdraw with a 1 ml syringe using a constantly changing negative pressure of 0,5 ml maximum. Stop if the blood column does not move constantly (and slowly) and immediately flush with a prepared saline syringe. It works 90% of the time. Erythrocytes are a lot smaller (7,5µm) than the inner diameter of a PICC line (28G = 1Fr has 0,17mm = 170µm). A study has shown that you can give blood via a PICC line without hemloysis (Pediatr Crit Care Med. 2004 Jan;5(1):69-74. PMID: 14697112). See also nice experiments in https://chartermedical.com/wp-content/uploads/2015/09/TexasChildrensPDF.pdf. There it is stated that you should not do it with platelets because of clotting. In an emergency we gave 80 ml FFP via 28G PICC line with no problems. It needs a pump with pressure cut of set to max - you can not do it by hand. 2 Link to comment Share on other sites More sharing options...
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