One case of PICC decannulation difficult processing experience due to lower limb vein organic compound formation in preterm neonate
10.3760/cma.j.issn.1672-7088.2019.18.012
- VernacularTitle: 一例早产儿下肢静脉机化物形成致PICC拔管困难的处理体会
- Author:
Xiaofang FENG
1
;
Liping ZHANG
;
Weijie HU
;
Caixia SUN
Author Information
1. Newborn Department, the First Affiliated Hospital Wenzhou Medical University, Wenzhou 325015, China
- Publication Type:Journal Article
- Keywords:
Catheterization, peripheral;
Premature;
Difficult decannulation;
Nursing;
Multidisciplinary team
- From:
Chinese Journal of Practical Nursing
2019;35(18):1413-1416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the decannulation difficult reason and the application of multidisciplinary cooperation of 1 case of premature neonate with leg vein organic compound formation.
Methods:Through the PICC decannulation difficult reason analysis and processing, drawing tube under multidisciplinary cooperation comprehensive intervention.
Results:Children managed to root out PICC under digital subtraction angiography (DSA), but organic compound in the popliteal vein remained. No organic compound falling off and blood clots occurrd after 6-month follow-up.
Conclusion:For neonatal PICC decannulation difficult, we can give appropriate postures, wet hot compress, local massage method, as well as ultrasound for confirmation of presence of thrombus when necessary, such as machine compound and fibrin sheath formation. Application of multidisciplinary cooperation can improve the success rate of minimally invasive decannulation. According to the cause of decannulation difficult and take effective preventive measures is the key point of PICC catheter nursing.
