Reply To: Chemotherapy in “non-central” line

  • Kathleen Ackerman

    Member
    November 11, 2021 at 3:19 pm

    All vesicants get a new IV when given peripherally. A line that was “pulled” would not get chemo or a vesicant, since there would be some vascular trauma involved with a line that moved. We would start a new peripheral in all likelihood.

    =====================================================================

    Please note that this e-mail and any files transmitted from
    Memorial Sloan Kettering Cancer Center may be privileged, confidential,
    and protected from disclosure under applicable law. If the reader of
    this message is not the intended recipient, or an employee or agent
    responsible for delivering this message to the intended recipient,
    you are hereby notified that any reading, dissemination, distribution,
    copying, or other use of this communication or any of its attachments
    is strictly prohibited. If you have received this communication in
    error, please notify the sender immediately by replying to this message
    and deleting this message, any attachments, and all copies and backups
    from your computer.

    ——————————————-
    Original Message:
    Sent: 11/11/2021 1:42:00 PM
    From: Katie Madril
    Subject: Chemotherapy in “non-central” line

    This recently came up at our institution and would appreciate feedback!
    Do you ever allow Chemotherapy including vesicants to be administered in a line that in no longer centrally located? 
    Wondering is it ok on a case by case basis weighing risks vs benefits.
    For example we had a patient who’s PICC line got pulled and was located in the brachiocephalic vein, this was identified on X-ray and able to easily flush and obtain blood return. We ended up delaying chemo until a new line could be placed, however curious to what others would do? 
    Thank you.

    ——————————
    [Katie] [Madril], CNS, CPHON
    [Clinical Nurse Specialist]
    [Sutter Medical Center]
    [Sacramento], [CA]
    ——————————