Clinical application and experience of PICC catheter guided by intracavitary electrocardiogram

VernacularTitle:腔内心电图引导下中心静脉导管置管的临床应用
Author: Hongying MA ¹ ; Yijin WANG ; Yu CHEN ; Fengya JIANG ; Ting HUANG
Author Information

1. 苏州大学附属常熟医院常熟市第一人民医院护理部
Keywords: Electrocardiography; Catheterization,central venous; Head end position
From: Chinese Journal of Primary Medicine and Pharmacy 2018;25(1):61-64
CountryChina
Language:Chinese
Abstract: Objective To investigate the peripherally inserted central catheter (PICC) to improve the accuracy of three valve PICC head end position of the fortune with endocardial mapping method.Methods 204 patients with PICC were randomly divided into observation group and control group according to the digital table,102 cases in each group.The observation group used saline infusion method by three valve PICC guided endocardial mapping catheter tip location.The control group received conventional positioning surface positioning method.The accurate rate of end position of the two groups was compared.Results The head position accuracy of the observation group was significantly higher than that of the control group (100.00％ vs.93.14％,x2 =3.003,P =0.004).Conclusion The use of saline drip instillation to guide intracardiac electrogram during PICC catheter placement can reduce ectopia and improve the accuracy of the head end position of the catheter,and it is worthy of promotion.