Evaluation of the effect of bedside ultrasound combined with joint movement protractor on preventing secondary ectopic PICC in extremely low birth weight infants
10.3761/j.issn.0254-1769.2025.17.003
- VernacularTitle:床旁超声联合关节活动量角器对预防极低出生体重儿PICC继发性异位的效果评价
- Author:
Lulu CUI
1
;
Pingping LI
;
Xin SU
;
Ge JIN
Author Information
1. 450000 郑州市郑州大学第一附属医院新生儿重症医学科一病区
- Publication Type:Journal Article
- Keywords:
Bedside Ultrasound;
Joint Movement Protractor;
Very Low Birth Weight Infants;
Catheter Ectopic Secondary to PICC;
Neonatal Nursing
- From:
Chinese Journal of Nursing
2025;60(17):2063-2069
- CountryChina
- Language:Chinese
-
Abstract:
Objective The application effect of bedside ultrasound combined with joint movement protractor on the accurate monitoring and management of joint range of motion in extremely low birth weight infants was evaluated to reduce the incidence of secondary ectopic PICC in extremely low birth weight infants.Methods Convenience sampling was used to select 128 extremely low birth weight infants admitted to the neonatal intensive care unit of a tertiary hospital in Zhengzhou,Henan Province from February to September 2024.Among them,infants enrolled between June and September 2024 were assigned to an experimental group,while those enrolled between February and May 2024 were assigned to a control group,with 64 cases in each group.Whereas the experimental group,based on the control group,combined bedside ultrasound with a joint goniometer for precise monitoring and management of limb movement range in children with upper limb catheterization;the control group received routine prevention and management of PICC secondary displacement.After intervention,the incidence of PICC secondary displacement,the rate of PICC secondary displacement removal,the incidence of complications related to PICC secondary displacement,and the average length of stay of the infants were compared between the 2 groups.Results Ultimately,60 cases were included in each of the 2 groups.The incidence of secondary ectopic PICC in the post-intervention experimental group was 8.33％,lower of 23.33％in the control group;the extubation rate of secondary ectopic PICC was 3.33％,lower of 16.67％in the control group;the incidence of complications related to secondary ectopic PICC was 13.33％,lower of 51.67％in the control group;the average hospitalization day was 50(48,55)d,shorter of 61(55,65)d in the control group.The difference between the 2 groups was statistically significant(P＜0.05).Conclusion The combination of bedside ultrasound and joint movement protractor was used to accurately monitor and manage the range of motion of limbs in children with upper limb catheterization,which effectively guaranteed the safe position of the catheter tip and reduced the incidence of secondary ectopic complications related to PICC.It can be further promoted and applied in clinical practice.
