west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "PICC" 12 results
  • Influence of PICC Ultrasound Guidance on Elbow Puncture and Catheterization and Its Complications: A Systematic Review

    Objective To systematically evaluate the influence of PICC (peripherally inserted central catheter) ultrasound guidance on success rates and incidences of complications of elbow catheterization. Methods The Cochrane Library (Issue 3, 2012), Library of JBI evidence-based nursing center, MEDLINE, EMbase, CBM, VIP, CNKI and WanFang Data were searched for relevant studies to influence on success rates of puncture and catheterization and complications from upper arm placement of PICC ultrasound guidance as well as conventional PICC placement from inception to March, 2012. The data were extracted according to the inclusion and exclusion criteria by two reviewers, the quality of included studies was also evaluated. Meta-analysis was conducted using RevMan 5.1, or only descriptive analysis was conducted instead. Results Eleven randomized controlled trials, five clinical controlled trials and four cohort studies were included, involving 4 052 patients. The results of meta-analysis showed that, upper arm placement of PICC ultrasound guidance combined with modified Seldinger technique was associated with significantly higher one-time success rates of puncture and catheterization than conventional PICC placement below the elbow, with significant differences (OR=4.71, 95%CI 1.97 to 11.28, P=0.000 5; OR=8.63, 95%CI 1.92 to 38.82, P=0.005). Conventional elbow catheterization had a significantly higher incidence of phlebitis than catheterization on the elbow that under the guidance of PICC ultrasound and modified Seldinger technique (OR=0.13, 95%CI 0.08 to 0.21, Plt;0.000 01). Conclusion Elbow catheterization under the guidance of PICC ultrasound combined with modified Seldinger technique has an obvious advantage in improving the success rates of puncture and catheterization and reducing the incidence of complications, compared with conventional elbow catheterization.

    Release date: Export PDF Favorites Scan
  • Dexamethasone for Preventing PICC-Associated Phlebitis: A Systematic Review

    ObjectiveTo systematically review the effect of pre-treating the catheters with dexamethasone for preventing PICC-associated phlebitis. MethodsWe electronically searched PubMed, EMbase, The Cochrane Library (Issue 4, 2012), CNKI, CBM, WanFang Data and CQVIP for studies about pre-treating the catheters with dexamethasone to prevent PICC-associated phlebitis from inception to March 2013. Relevant studies including grey literature were also manually searched. Two reviewers independently screened studies according to the inclusion and exclusion criteria, extracted data and evaluated the methodological quality of the included studies. Then meta-analysis was performed using the software RevMan 5.0. ResultsA total of 13 studies involving 1 965 cases (1 025 cases in the dexamethasone group, and 940 cases in the control group) were included. The results of meta-analysis showed that pre-treating the catheters with dexamethasone could significantly decrease the incidence of PICC-associated phlebitis (RR=0.29, 95%CI=0.22 to 0.39, P < 0.000 1). However, no significant difference was found for the PICC-associated other complications, such as pipe blockage, bleeding, swelling of puncture site, allergy and atopic catheter. ConclusionPre-treating the catheters with dexamethasone soltion before inserting could reduce the incidence of PICC-associated phlebitis. The aforementioned conclusion needs to be further validated by more high-quality and large-scale randomized controlled trials.

    Release date: Export PDF Favorites Scan
  • Efficacy of pulse indicating continuous cardiac output monitoring on the treatment guidance of patients with septic shock: a meta-analysis

    ObjectiveTo systematically review the efficacy of pulse indicating continuous cardiac output (PICCO) monitoring for guiding the treatment of patients with septic shock.MethodsDatabases including PubMed, The Cochrane Library, EMbase, Web of Science, CBM, WanFang Data, VIP and CNKI were electronically searched from inception to February 2017 to collect randomized controlled trials (RCTs) about PICCO monitoring on treatment guidance of patients with septic shock. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then meta-analysis was performed using Stata 12.0 software.ResultsA total of 20 RCTs involving 1 253 patients were included. The results of meta-analysis showed: compared with central venous pressure (CVP) measurements, the treatment of sepsis bundles informed by PICCO could significantly shorten the length of intensive care unit (ICU) stay (MD=–2.74, 95%CI –3.40 to –2.09, P<0.001), reduce the ICU mortality (RR=0.49, 95%CI 0.36 to 0.67, P<0.001) and 28-day mortality (RR=0.61, 95%CI 0.43 to 0.87, P=0.006).ConclusionCurrent evidence shows the PICCO monitoring can significantly improve the prognosis of septic shock. Due to limited and quantity quality of the included studies, more high-quality studies are needed to verify above conclusion.

    Release date:2017-08-17 10:28 Export PDF Favorites Scan
  • Establishment of risk factors and risk nomogram model for unplanned extubation during peripherally inserted central catheter retention in cancer patients

    ObjectiveTo retrospectively analyze the causes and risk factors of unplanned extubation (UE) in cancer patients during peripherally inserted central catheter (PICC) retention, so as to provide references for effectively predicting the occurrence of UE. Methods27 998 cancer patients who underwent PICC insertion, maintenance and removal in the vascular access nursing center of our hospital from January 2016 to June 2023 were retrospectively analyzed. General information, catheterization information, and maintenance information were collected. The Chi-squared test was used for univariate analysis, multivariate analysis was used by binary unconditional logistic regression. They were randomly divided into modeling group and internal validation group according to the ratio of 7∶3. The related nomogram prediction model and internal validation were established. ResultsThe incidence of UE during PICC retention in tumor patients was 2.80% (784/27 998 cases). Univariate analysis showed that age, gender, diagnosis, catheter retention time, catheter slipping, catheter related infection, catheter related thrombosis, secondary catheter misplacement, dermatitis, and catheter blockage had an impact on UE (P<0.05). Age, diagnosis, catheter retention time, catheter slipping, catheter related infection, catheter related thrombosis, secondary catheter misplacement, and catheter blockage are independent risk factors for UE (P<0.05). Based on the above 8 independent risk factors, a nomogram model was established to predict the risk of UE during PICC retention in tumor patients. The ROC area under the predicted nomogram was 0.90 (95%CI 0.89 to 0.92) in the modeling group, and the calibration curve showed good predictive consistency. Internal validation showed that the area under the ROC curve of the prediction model was 0.91 (95%CI 0.88 to 0.93), and the trend of the prediction curve was close to the standard curve. ConclusionPatients aged ≥60 years, non chest tumor patients, catheter retention time (≤6 months), catheter slipping, catheter related infections, catheter related thrombosis, secondary catheter misplacement, and catheter blockage increase the risk of UE. The nomogram model established in this study has good predictive ability and discrimination, which is beneficial for clinical screening of patients with different degrees of risk, in order to timely implement targeted prevention and effective treatment measures, and ultimately reduce the occurrence of UE.

    Release date: Export PDF Favorites Scan
  • 水胶体敷料用于PICC置管后局部皮肤的观察

    目的:了解不同水胶体敷料用于PICC置管术后穿刺局部皮肤过敏的发生情况。 方法: 将PICC置管患者随机分为水胶体敷料组及透明敷贴组,实验组穿刺局部皮肤使用水胶体敷料,对照组常规使用3 M透明敷贴,比较两组患者穿刺局部皮肤过敏的发生率。 结果: 水胶体敷料组患者局部皮肤过敏的发生率(3.3%)低于3M透明敷贴组(24.1%)(P<0.05)。 结论: 水胶体敷料用于PICC置管术后穿刺局部皮肤的固定皮肤过敏的发生率低于3 M透明敷贴组。

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • The Role of Heparin in Prevention of Neonatal Catheter-related Complications in Peripherally Inserted Central Catheters

    Objective To investigate the role of low-dose heparin added to total nutrient admixture (TNA) solutions in the prevention of catheter related infections (CRIs). Methods One-hundred three newborn infants with periph-erally inserted central catheter (PICC) were divided into heparin group (n=63) and control group (n=40). The patients in the heparin group received TNA with 0.5 U/ ml heparin. The patients in the control group received TNA without heparin. We retrospectively analyzed the incidence of CRTs in the two groups. Results We found that the incidence of CRIs was 0 in the heparin group and 12.5% (5/40) in the control group. The incidence of catheter obstruction was 6.3% (4/63) in the heparin group and 20% (8/40) in the control group. The incidence of catheter-tip colonization was 1.58% (1/40) in the heparin group and 17.5% (7/40) in the control group. The incidences of CRIs, catheter obstruction, and catheter-tip colonization were signiicantly lower in the heparin group than those in the control group (Plt;0.05). Conclusion TNA solutions with 0.5U/ml heparin have decreased catheter obstruction and CRIs.

    Release date:2016-09-07 11:24 Export PDF Favorites Scan
  • 对外周静脉置入中心静脉导管堵塞使用肝素钠注射液再通的应用与效果

    【摘要】 目的 总结外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)使用肝素钠注射液联合三通接头负压实现再疏通的方法与效果。 方法 2009年8月-2010年11月,对8例肿瘤患者因置入的PICC导管发生血栓性堵塞,采用肝素钠注射液联合三通接头进行抽吸、负压注射再疏通的方法进行回顾分析。 结果 8例患者PICC导管堵塞均再通成功,未出现任何不适,有效地避免了拔插管事件的发生,使患者顺利完成后期治疗。 结论 使用肝素钠注射液联合三通接头负压处置PICC导管堵塞,方法简便,再通效率高,效果良好。

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • 肝素钠在外周静脉置入中心静脉导管堵塞再通中的应用

    【摘要】 目的 通过肝素钠注射液抗凝的原理对外周静脉置入中心静脉导管(PICC)堵塞进行疏通,观察肝素钠在PICC导管堵塞再通中的应用效果。 方法 2009年5-10月对80例需化疗的肿瘤患者行PICC置管治疗,其中6例PICC导管堵塞, 将PICC导管接口的肝素帽更换为三通管,一接口连接吸好少量生理盐水的20 mL注射器,另一接口连接吸好肝素钠的5 mL注射器,利用导管内负压将肝素液吸进导管,反复抽吸进行疏通。 结果 6例PICC导管堵塞患者中有4例再通成功,2例失败予拔管;再通成功率为66.7%(4/6)。 结论 在患者使用PICC 的过程中,应采取积极、有效的措施预防导管堵塞;肝素钠在PICC导管堵塞再通中的应用有效,对临床有较大帮助。

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • 尿激酶在肿瘤化疗患者间歇期外周静脉置入中心静脉导管封管维护的临床应用

    【摘要】 目的 〖JP2〗总结肿瘤患者化疗间歇期外周置入中心静脉导管(PICC)后封管维护的方法和效果。 方法 2010年1-5月应用0.5 mL含尿激酶12.5万U的生理盐水代替常规肝素封管液, 对PICC管行封管维护,使PICC管在患者整个化疗间歇期保持通畅。 结果 通过对13例32次PICC管尿激酶封管显示,尿激酶封管能维持PICC管通畅长达23 d,平均15 d,通畅率达93.7%,无感染无出血发生,患者封管前后检测外周血出凝血(DIC)各项指标变化无统计学差异。 结论 肿瘤患者化疗间歇期,尿激酶封管能维持PICC管通畅,经检测对患者出凝血系统无影响,无不良反应。

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • 地塞米松外涂用于PICC置管后对透明膜过敏患者的疗效观察

    目的:观察地塞米松液外涂对外周置入中心静脉导管(PICC)置管术后局部皮肤过敏治疗效果。方法:对32例局部皮肤过敏患者按开始治疗时间的不同、过敏程度的不同分类,分别在采用地塞米松液外涂后进行治愈时间、有效率的比较。结果:地塞米松液外涂治疗的总有效率达78%,治疗时间越早,治愈时间越短;局部皮肤过敏程度越轻,有效率就越高。结论:我们应用地塞米松治疗局部皮肤过敏,着重于早期发现,早期治疗,明显缩短治愈时间。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
2 pages Previous 1 2 Next

Format

Content