Effect of central venous pressure waveforms on location of power PICC tip localization
10.3969/j.issn.1671-8283.2017.08.010
- VernacularTitle:中心静脉压波形在耐高压注射型经外周置入中心静脉导管位置判断中的应用
- Author:
Liping BAI
1
;
Ruojing WANG
;
Tonghong DING
;
Linzhu WU
;
Lifen CHEN
Author Information
1. 中山大学附属第一医院,广东广州,510080
- Keywords:
power PICC;
central venous pressure,catheter;
misplacement
- From:
Modern Clinical Nursing
2017;16(8):42-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of central venous pressure waveforms on the location of power PICC tip. Methods From January 2015 to December 2015, we placed power PICC for 47 patients in our intensive care unit. The CVP waveforms were applied to detect any displacement into small thoracic veins after a four-step localization method. The position of the catheter tip was finally confirmed by X-ray inspection. Results Among the 47 cases undergoing PICC implantation, 45(95.75%) displayed a typical CVP waveform, with the catheter tip positions were located in the superior vena cava inferior segment, 1 (2.13%) displayed a typical CVP waveform, with the catheter tip was misplaced into axillary vein and retraced and 1(2.13%) did not display typical CVP waveforms and CVP value was negative, with the catheter tip was in left internal jugular vein. To locate the catheter tip position with CVP waveform and chest X-rang were 100.00%the same. Conclusions The central venous pressure waveform can be used to determine whether the catheter tip is located in the inferior segment of the superior vena cava or not immediately after the placement of a power PICC. However, chest X-ray inspection conformation is still needed.
