Common problems and countermeasure of ultrasound-guided modified Seldinger technique for peripherally inserted central catheter placement
10.3760/cma.j.issn.1674-635X.2011.03.017
- VernacularTitle:超声引导下改良塞丁格技术行经外周静脉置入中心静脉导管常见问题及对策
- Author:
Yanxian HE
;
Ping LI
;
Li ZHOU
- Publication Type:Journal Article
- Keywords:
Ultrasound-guided;
Modified Seldinger technique;
Peripherally inserted central catheter;
Nursing
- From:
Chinese Journal of Clinical Nutrition
2011;19(3):201-203
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the common problems and countermeasure of using ultrasound-guided modified Seldinger technique in peripherally inserted central catheter (PICC) placement Method The clinical data of 140 patients who underwent PICC placement using ultrasound-guided modified Seldinger technique were retrospectively analyzed. Results The success rate of catheterization was 98. 6% among these 140 patients,with 135 (96. 4% ) succeeded after a single attempt and 5 (3. 6% ) after 2 attempts. Besides, 7. 1% (n = 10) had difficulty in inserting the guide wire, 3. 6% (n =5) had difficult catheteration, 2. 1% (n =3) met resistance when inserting catheter into ipsilateral subclavian vein, 2. 1 % (n = 3 ) experienced dystopia of inserting catheter into internal jugulular vein, and 1.4% (n = 2) experienced the bending of PICC in the superior vena cava and axillary vein. All of these problems were handled successfully. Conclusions The common problems of PICC placement include puncture failure, difficulty in inserting guide wire, and difficult catheteration. A good knowledge of these problems will help increase the success rate.
