triple lumen PICC lines - page 2

has any out there in the PICC world placed any 3L PICC's? I am hoping to trial some in the next couple of weeks. I am very excited, there are many patients that I PICC that could definately use a... Read More

  1. by   DeterminedOne
    We keep the Bard 6Fr on hand in our facility and I have placed them several times - always on ICU patients who were on numerous drips/TPN/etc.. that really required three lumens. I have never had a problem with phlebitis or thrombus with the triple lumens - I attribute that to careful assessment of the patients I use them on. So far, the other Picc nurses at my facility have not placed any of the triple lumens - I think they find them a little scary because they are a larger line.

    I have never placed two piccs in one arm - that idea is new to me. If I found I needed more lumens I might place a second line in the other arm, or just place a triple lumen. Those of you who are placing two lines in one arm, how can you be sure that both lines don't end up in the same vessel in that arm? I mean, it is possible the way veins sometimes branch into other veins. If that happened I would think that would really increase that risk of phlebitis or thrombus formation.
  2. by   dds520
    I place triple lumen PICCs, and use only the Bard Power Picc. Great advantage to have three lumens, one of which can be used for contrast. Particularly good for ICU patients.
  3. by   memarc1120
    We use triple lumen piccs in our small community hospital in the CCU. We love them. The staff nurses love them. We dont have any problems with clogging,clotting,emboli or anything. Believe it or not. They are not hard to place, even with very sick pt's. We have been thanked many times over because they dont have to be sent to IR. We use 6FR TL Bard POWER PICC's.
  4. by   ~*RN*~
    Triple lumen PICCs are awesome! If I walked out of the ICU placing a single or double rather than a triple I would definitely get attacked by the nurses. They would be furious!:angryfire As you can imagine, the three lumens are great in patient who have a ton of meds running. I remember the first time I placed a Bard 6Fr TL PICC...the introducer scared me (it was so big). Now I have placed hundreds of them! Go get 'em!