Methods for the prevention of internal jugular vein malposition of peripherally inserted central catheter in patient with limited neck motion
10.3760/cma.j.issn.1674-635X.2014.05.015
- VernacularTitle:预防颈部活动受限患者经外周静脉置入中心静脉导管颈内静脉异位的方法
- Author:
Yanxian HE
;
Sha XIAO
;
Zhenhui GUO
;
Fang LI
- Publication Type:Journal Article
- Keywords:
Ultrasound probe compression method;
Finger compression method;
Peripherally inserted central catheter;
Internal jugular vein;
Malposition;
Limited neck motion
- From:
Chinese Journal of Clinical Nutrition
2014;22(5):317-320
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the methods for the prevention of internal jugular vein malposition of peripherally inserted central catheter (PICC) in patient with limited neck motion.Methods 210 patients who underwent PICC placement using ultrasound-guided modified Seldinger technique were divided into observation group (n =106) and control group (n =104) with a random number table.Ultrasound probe compression on the internal jugular vein was used in the observation group,while finger compression was used in the control group.The 2 groups were compared in terms of incidence of internal jugular vein malposition,accuracy of PICC tip position in X-ray,and incidence of complications.Results Incidence of PICC malposition was significantly lower in the observation group than the control group [3 (2.8％) vs.36 (34.6％),P =0.000].The accuracy of PICC tip position in both groups was 100％.No complication was observed in the observation group,while the rate of complication in the control group was 4.8％,with a statistically significant difference (P =0.022).Conclusion The ultrasound probe compression method can significantly lower the incidence of internal jugular vein malposition of PICC and is safer than the finger compression method.
