Severe adverse reactions with PICC insertion
We have seen a dramatic increase in severe reactions during or immediately following PICC insertion (approximately 12 cases over the past two years). The primary s/s are exteme flushing, severe airway obstruction, anxiety. In the vast majority of patients, s/s resolve within seconds or minutes without intervention and/or catheter removal. There seems to be no specific diagnoses, age group, sex or patient condition that predisposes patients to these reactions. Several similar reports have been posted on this forum.
We'd appreciate hearing from others who are experiencing similar events and, most importantly any information regarding possible causative factors/agents (i.e., flushing solution, PICC product, etc).
Jamie Bowen Santolucito, RN,CRNI
Staff PICC Nurse
Oregon Health & Science University Hospitall