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Lessons relearned: Peripheral IV placement and recirculation

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in the same arm, always place the draw line PIV below the return PIV to avoid the risk of recirculation. 1 Publi-shed reports describing recirculation associated with apheresis, however, are… Click to show full abstract

in the same arm, always place the draw line PIV below the return PIV to avoid the risk of recirculation. 1 Publi-shed reports describing recirculation associated with apheresis, however, are notably lacking. We share our case as a clear, quantifiable example of recirculation due to poorly placed PIV in the same arm. We estimate that there was 75% recirculation based on the calculated CD34-CE, which was significantly lower than the CD34-CE in other HPCC during the same 30-day period (Figure 1B). We also believe that recirculation accounts for the unsteady collection preference and need to re-establish the interface observed during the procedure.

Keywords: placement recirculation; relearned peripheral; peripheral placement; piv; recirculation; lessons relearned

Journal Title: Journal of Clinical Apheresis
Year Published: 2022

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