Application of ultrasound-guided peripherally inserted central catheter insertion in elderly patients

VernacularTitle:超声引导下经外周静脉置入中心静脉导管置管术在老年患者中的应用
Author: Yunguo BAI ; Huiru HOU
Publication Type:Journal Article
Keywords: Peripherally inserted central catheter; Ultrasound-guided; Elderly patient
From: Chinese Journal of Clinical Nutrition 2010;18(1):16-18
CountryChina
Language:Chinese
Abstract: Objective To explore the feasibility and complications of ultrasound-guided peripherally inserted central catheter (PICC) insertion in elderly patients. Methods Ultrasound-guided PICC insertion was performed in 37 elderly patients with modified Seldinger's technique. Eighteen (48.6%) patients had invisible or impalpable shallow veins in elbow joints. The post-insertion success rate and complications were analyzed. Results The success rate was 100% among these 37 elderly patients. The indwelling patency duration was (32.0 ± 19.8)days. Two catheters in 2 (5.8%) patients were removed on the 21st and 39th day because of deep venous thrombosis. PICCs remained in place in 18 (48.6%) cases. Conclusions Ustrasound-guided PICC insertion is a safe procedure with high success rate. It can also be applied in patient whose shallow vein is not visible or palpable in elbow joint.