Effect of SiteRite5 vascular ultrasound and micro intubation scabbard technology on indwelling double channel power peripherally inserted central catheters ( Power PICC) in upper arm
10.3760/cma.j.issn.1674-2907.2011.33.002
- VernacularTitle:SiteRite5血管超声引导结合微插管鞘技术行上臂双腔Power PICC置管的效果
- Author:
Na ZHANG
1
;
Xiao-Xin JIANG
;
Xue-Jiao LIANG
Author Information
1. 解放军第309医院
- Keywords:
Ultrasound guided;
Micro introducer scabbard technology;
Power peripherally inserted central catheters;
Complications;
Flow velcocity;
High-pressure-injection
- From:
Chinese Journal of Modern Nursing
2011;17(33):3973-3976
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the successful puncture rate,complications,the liquid flow rate and the high-pressure-injection status of upper arm indwelling double-channel Power PICC with SiteRite5 vascular ultrasound and micro inmbation scabbard technology.Methods Totals of 106 patients received PICC randomly divided into control group(53 cases) and observation group(53 cases),and two groups were assessed vessel by SiteRite5 vascular ultrasound of American Bard and used micro intubation scabbard technology in indwelling double-channel Power PICC.Control group used there valve type double-channel PICC catheter of Bard,while observation group used double-channel Power PICC catheter.Then successful puncture rate,complications ratio,the way and effects of high-pressure-injection when received enhanced CT examination in two groups were compared.Results The successful puncture rate of two groups was 100％,respectively.Complications ratio of control group was 7.41％ and observation group was 0.00％,the difference was statistical significant( x2 =5.76,P＜0.05).Observation group received enhanced-CT examination that can directly connected with highpressure-injection,while 100％ patients of control group needed peripheral large veins puncture again; liquor exosmosis and local swelling ratio and local pain,unwell ratio of control group was 17.02％ and 25.53％,and that of observation group was 0.00％,and the difference was statistical significant ( x2 =18.60,29.27 ; P ＜0.01 ).Conclusions Upper arm indwelling double-channel Power PICC with SiteRite5 vascular ultrasound and micro intubation scabbard technology has a safety operation,wiresoft,high successful puncture ratio,low complication ratio,liquor velocity and flow reach clinical requirement,and can use enhanced-CT to make up the deficiency of existing PICC puncture,no risk for liquor exosmosis,and can increase Catheter utilization ratio,effectively decrease the workload of nurses,and improve the satisfaction of patients,which has a better clinical utilization value.
