"Biphasic P-wave maxed", "Catheter reached preset length", "Start recoiling", "Stop, P-wave max, check catheter length", "44 cm, success!".”.With the word "success" coming out, the first case of PICC cutting-edge positioning technology guided by ultrasound combined with cavity electrocardiogram led by Xiao Huan, a specialist nurse of Hunan Want Want Hospital, was successfully carried outThe successful development of this technology marks that the venous technology of Hunan Want Want Hospital keeps up with the forefront of the times, and the PICC catheterization technology has been upgraded to a new height
Recently, Ms. Lin, an inpatient patient, was prescribed chemotherapy due to her condition. In order to protect her blood vessels and smoothly cooperate with the drug infusion of chemotherapy cycles, nurse Xiao Huan agreed to choose PICC catheterization after effective communication with Ms. LinThe core members of the vein** team conducted a comprehensive evaluation of the patient, discussed and analyzed, and decided to use ultrasound combined with luminal electrocardiogram-guided PICC tip positioning technology to carry out catheter positioning, realize the integration of bedside catheter placement and positioning, improve the accuracy of tip positioning, and avoid the occurrence of catheter tip ectopy.
After successful puncture under ultrasound guidance, nurse Xiao Huan then connected the right arm electrode (RA) with a PICC support guidewire with a sterile lead, and then connected the ECG monitor. As the catheter is slowly fed into the superior vena cava, the position of the tip of the PICC catheter is finally accurately determined according to the specific changes of the "P" wave in the intracardiac electrogram, and the catheter is successfully placed.
PS: What is cavity electrocardiogram positioning technology?
Luminal electrocardiogram positioning technology is a new technology for positioning the tip of the central venous catheter applied in China in recent years, which uses a metal guide wire as the conduction medium, connects the metal handle of the metal guide wire with the ECG monitor through the ECG lead wire, and judges the position of the catheter tip through the change of the amplitude of the electrocardiogram P wave. Its main advantage is that it can accurately indicate the position of the catheter tip during the catheter placement process, realize the integration of bedside catheter placement and positioning, and reduce the complications caused by repeated catheter adjustment in ectopic catheterization.
In 2015, Hunan Want Want Hospital opened a vein specialist nursing clinic, with 17 core members of the hospital's static therapy team, including 5 venous specialists, and the main business scope: peripheral venous catheters, medium-length catheters, PICC placement and maintenance, CVC, infusion port maintenance, etc. Populations served: inpatient, outpatient, and home-based patients with indwelling intravenous lines. Up to now, Hunan Want Want Hospital has seen a total of 1530,000 person-times, 835 cases of PICC tubing were successfully implanted, 29 cases of medium and long catheters, and 118 person-times of home-based intravenous tubing nursing were continued, with a satisfaction rate of 100%, which was well received by patients.
Hunan Medical Chat Special Author: Hunan Want Want Hospital Nursing Department Vein ** Team Xie Aitao Follow @Hunan Medical Chat to get more health science information!
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