Nursing care for midline catheter insertion in 12 patients with severe obesity
10.3761/j.issn.0254-1769.2025.13.005
- VernacularTitle:12例极重度肥胖症患者中等长度静脉导管的置入及护理
- Author:
Xufen ZENG
1
;
Xiuzhu CAO
1
;
Hongying CHEN
1
;
Shasha WU
1
;
Xianghong JIN
1
;
Linfang ZHAO
1
Author Information
1. 310016 杭州市 浙江大学医学院附属邵逸夫医院护理部
- Publication Type:Journal Article
- Keywords:
Extremely Severe Obesity;
Midline Catheters;
Vascular Access Devices;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(13):1563-1566
- CountryChina
- Language:Chinese
-
Abstract:
This study summarized the nursing experience of midline catheter insertion in 12 patients with a body mass index≥50,providing clinical references.Key nursing interventions included:pre-insertion patient positioning was adjusted to semi-Fowler's or sitting position based on respiratory status.The puncture sites were chosen at the middle or distal third of the upper arm with elbow flexion.The widened tourniquets and extended-length needles/catheter sheaths were used according to vascular depth and puncture angle.The modified pre-insertion length measurement and real-time ultrasound-guided vascular puncture were applied.The catheter with crisscross elastic bandage was secured post-insertion.All 12 patients successfully underwent catheterization,with devices removed after completing intravenous therapy and blood sampling.
