Hi! I'm hoping that some one has data on why foot IVs just should not be placed. In my large city hospital it has become common for IVs to be placed in feet. We have been encouraging that if a pt has a foot IV the nurses should generate a referral to the a PICC team. This seems to be very upsetting to the anesthesia staff as they would rather place an IV in a foot than start a CVC. They of course want to see data supporting why fooot IVs are BAD!! Please help!!
There is all kind of evidence suggesting that this practice be avoided. It is OK in emergency situations but once the crisis is over a more suitable line should be placed. There are deep venous sinuses in the legs this increases the chance of thrombosis and embolism. Where do we see a lot of DVT's...in the calves...do we really want to administer irritating drugs through these vessels.....Also many people have varicosed veins in their lower extremities and there can be drug trapping B/C of this....and this means delayed drug effect also check the INS guidelines...and ask the question on ivtherapy.net. I agree with you a PICC is far better than a foot IV in most situations . Find out why the MDs do not want them...perhaps they need to educated..the fear may be infection risk....explain to them it is very low...usually 1-2% TELL THEM WHY CAN i HELP YOU IN ANY OTHER WAY MARY
Last edit by iluvivt on Jan 19, '08
: Reason: TYPO