经外周静脉穿刺中心静脉置管操作技术专家共识

Expert consensus on skills of peripherally inserted central catheter

目的形成《经外周静脉穿刺中心静脉置管操作技术专家共识》(以下简称《共识》),规范经外周静脉穿刺中心静脉置管(peripherally inserted central venous catheter,PICC)操作实施方法,减少导管置管过程中及置管后相关并发症,延长PICC使用寿命。方法查阅国内外PICC操作技术的相关文献并结合静脉治疗专家的工作经验,形成初版《共识》;通过3次专家论证、审核、证据总结,对各条目进行调整、修改,形成终版《共识》。结果《共识》的内容覆盖了PICC置管操作各个环节,包括PICC禁忌症与适应症、基本要求与基本原则、置管前评估、置管操作流程与操作要点、置管中的常见问题的预防与处理、导管尖端定位等方面。结论《共识》具有一定的科学性和较强临床实用性,可为PICC置管操作技术提供教学及临床实践指导,从而提高置管的成功率。

Objective To establish an expert consensus on skills in peripherally inserted central catheter(PICC)and to reduce complications from catheterisation and prolong the service life of PICC.Methods By searching domestic and foreign literatures in last 10 years and consulting intravenous therapists on the clinical and teaching experiences,the first version of expert consensus on skills of peripherally inserted central catheterisation was initiated.It was finalised through three rounds of adjustments and revisions after debates,examinations and evidence summarisations with the experts.Result The consensus summarises the latest evidence of pre-catheterisation assessment,operation flow and catheter tip location.Conclusions This expert consensus on catheterisation process is scientific and practical.It can be referred as a clinical guidance,thereby to increase the success rate of catheterisation.