Power injecting thru cental lines - page 3

IV nurses--- I have a very rambuncous MD who wants us to power inject (300 PSI) contrast media into cental veneous catheters. He says everyone is doing it. Is anyone out there doing this? If you... Read More

  1. by   RN CRNI
    There are several Central lines that can receive a power injection and the companies manufacturing these lines have done a great job of marketing this feature with color distinctions and labeling. Bard (Bardaccess.com) has a wonderful website showing pictures and descriptions of these lines.

    Currently at our hospital, we use a Power Port & Power PICC. The power port can be identifed by a triangular shape (versus the more traditional round shape, and has three palpable points that can be felt when palapting.) Additionally, the power picc lines are purple in color and labeled very clearly- Power PICC.

    Check out the Bard web site- great resource.
  2. by   iluvivt
    Quote from radnurse2001
    IV nurses---
    I have a very rambuncous MD who wants us to power inject (300 PSI) contrast media into cental veneous catheters. He says everyone is doing it. Is anyone out there doing this? If you are, do you have a protocol? Any information will be helpful at this point. I have contacted all the manufactures of our central lines and am not getting any clear cut answers.

    Thanks!!!


    Anne
    ok here is the deal a cvc and that includes piccs must be manufactured as such it must state that it is safe to do so. for example bard has a triple lumen picc that we place and only the purple middle lumen can be used for a power injection at a max rate of 5ml per sec. they also have a new groshong picc 5fr that is also power injectable but its max rate is 4ml per sec. in order so you do not have to keep track of all the cvcs that do have this ability every manufacturer has it labeled on the tails of the line or if it an opened catheter it is usually in the clamp. if the catheter is not labeled as being labeled as such it cannot be used for that purpose. also remember that not every lumen may not have that enhanced capability. the other fairly new device on the market is the power port by bard. not only must this be identified as such......you must feel the heart-shaped design of the device ...it has a three point raised nub design......and then a special power injectable non-coring needle must be used.......best practice....if you cannot confirm that a device has this feature....you should not use it for that purpose....so the rad is getting a bit confused......permanentdamage can occur to the catheter and worse case scenario....... cath rupture and embolis hope this helps mary iv specialist x22 years

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