Application of PICC catheter guided by intracardiac electrocardiogram in patients with severe burn injury
10.3760/cma.j.issn.1672-7088.2017.26.008
- VernacularTitle:腔内心电图引导PICC置管在重度烧伤康复期患者瘢痕皮肤中的应用
- Author:
Xiaopeng FAN
1
;
Qing REN
;
Yinhua WU
;
Caiqin XU
Author Information
1. 215300,江苏大学附属昆山医院护理部
- Keywords:
Nursing care;
Electrocardiogram;
Severe burn;
Scar skin;
PICC catheter
- From:
Chinese Journal of Practical Nursing
2017;33(26):2033-2036
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application and nursing care of patients with severe burn patients with scar skin treated by ultrasound-guided PICC catheter placement. Methods Twelve patients with burn area of more than 95% were treated with intravenous catheter placement of PICC under the condition of scar hyperplasia skin with the help of ecg. Results Ten patients in elbow basilic vein catheterization by PICC disposable puncture, 1 cases of catheter in the right upper arm of the basilic vein into vascular sheath scar after guidewire dilating the skin in place leading to vascular sheath damaged anterior guidewire failed in bending catheter, to your left arm to venous catheter success, 1 cases of catheter for initial puncture puncture into the insufficient experience in successful puncture needle when the guide wire back because of scar skin relaxation will not needle guide wire fixing the wire with a lead to two times of puncture, 12 cases of catheter tip position by X-ray showed in the superior vena cava under 1/3, indwelling time ranged from-11 months of March, in the retention period without related complications. Conclusions It is feasible and advantageous for the application of PICC catheter in the treatment of severe burn patients with scar skin.
