Peripherally inserted central catheters in critically ill patients-complications and its prevention:A review

危重症患者应用PICC的并发症及预防的研究进展

Peripherally inserted central catheter(PICC)is extensively used in critical care settings,because it plays a vital role in providing safe central venous entry.However,PICC is associated with several complications,which should be detected to shorten the duration of patients'improvement,reduce health care cost,and lessen the incidence of various PICC-related complications.Therefore,this study aimed to outline current literature on PICC procedures,potential complications,and measures for prevention.Understanding evidence-based guidelines regarding insertion technique,early detection of complications,and care bundle of PICC is significant in complication prevention.Implementation of education,training,and appropriate multidisciplinary approaches on PICC care among nurses and caregivers is the key to preventing complications.Thus,the strict care of indwelling PICC lines,the targeted and reasonable PICCassociated complication prevention,and nursing care have a major clinical significance in reducing the occurrence of potential PICC complications.

PICC广泛用于重症监护室,它在提供安全的中心静脉入口方面起着至关重要的作用。然而,PICC与一些严重的并发症有关。应当监测这些并发症,以减少患者恢复时间,降低卫生保健成本,降低与PICC相关的各种并发症的发生率。本文对目前PICC操作方法、潜在并发症及预防措施的相关文献进行了综述。了解PICC的操作技术、并发症的早期发现和护理包扎等循证指南对并发症的预防具有重要意义。在护理人员中实施PICC护理教育培训和多学科合作方法是预防并发症的关键。因此,严格护理留置PICC管线,有针对性、合理地预防和护理PICC相关并发症,对减少潜在PICC并发症的发生具有重要的临床意义。