Present situation and reasons of short-term unplanned extubation after peripherally inserted central venous catheters surgery in cancer patients
10.7619/jcmp.201514013
- VernacularTitle:肿瘤患者外周静脉置入中心静脉导管术后短期内非计划拔管现状及原因分析
- Author:
Qijing YIN
1
;
Muhong DENG
;
Yan WANG
;
Fen DENG
Author Information
1. 解放军总医院 肿瘤内二科
- Keywords:
cancer;
peripherally inserted central venous catheters;
unplanned extubation;
patient education
- From:
Journal of Clinical Medicine in Practice
2015;(14):39-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the present situation and reasons of short-term unplanned extubation after peripherally inserted central venous catheters (PICC)surgery in cancer patients. Methods A total of 2 458 cancer patients underwent PICC surgery were collected,and patients experienced short-term unplanned extubation were screened out to analyze the general information, catheter situation and reasons of unplanned extubation.Results Totally 2 431 cases (98.90%, 2431 /2458)were successfully followed-up and 103 patients (4.24%,103 /2431)experienced short-term unplanned extubation.Among them,the proportion of patients received primary PICC,pa-tients over 65 years old and patients with catheter located in median cubital vein were 96.12%(99 /103),59.22% (61 /103)and 46.60% (48 /103)respectively.The incidence of unplanned extubation were related to age,vascular choose and whether the primary PICC.Subjective will (61.17%,63 /103)of patients was the main reason for short-term unplanned extubation and the objective reasons were catheter prolapse (10.67%,11 /103),local thrombosis (7.77%,8 /103) and puncture site exudation /phlebitis(6.80%,7 /103),catheter-related infections (5.83%,6 /103)and so on.Conclusion Effective maintenance during the entire process after PICC such as adequate doctor-patient communication,positive patient education,strengthening outside hospital PICC maintenance training as well as establishment of good follow up system can reduce the inci-dence rate of short-term unplanned extubation.
