经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)是一种经皮插入外周静脉,尖端置于右心房和上腔静脉交界处的中心静脉通路技术,留置数周到1年,应用于阶段性静脉药物注射以及肠外营养。血友病(Hemophilia)是...经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)是一种经皮插入外周静脉,尖端置于右心房和上腔静脉交界处的中心静脉通路技术,留置数周到1年,应用于阶段性静脉药物注射以及肠外营养。血友病(Hemophilia)是一种性染色体连锁的遗传性凝血因子Ⅷ/Ⅸ缺乏导致的出血性疾病,主要治疗方法是凝血因子静脉输入。而静脉通路建立是儿童期、尤其是最需要治疗的年幼患儿的主要阻碍。而以清除抑制物为目的的免疫耐受诱导治疗(immune tolerance therapy,ITI)需要长期、不间断、频繁的(如隔日1次或每日1次)静脉注射。近十年,为了开展中国儿童血友病ITI治疗,我国尝试为部分血友病患儿在ITI过程中放置PICC以建立静脉通路,相关研究取得了一定临床应用成果,但也发现了如脱管、感染、血栓等问题。鉴于无指导性材料,本文检索了近五年发表在PubMed、Medline、Web of science上“儿童应用PICC”综述性文章以及近二十年相关“血友病儿童应用PICC”文章,旨在为PICC在血友病患儿的合理、安全使用提供帮助。展开更多
外周导人中心静脉置管（peripherally inserted central catheter，PICC）是一种从外周静脉导入且导管末端位于上腔静脉的深静脉穿刺技术，在国外的临床护理中达到相当的比例。我科自2002年10月开展该项技术，至2004年10月共完成83例，...外周导人中心静脉置管（peripherally inserted central catheter，PICC）是一种从外周静脉导入且导管末端位于上腔静脉的深静脉穿刺技术，在国外的临床护理中达到相当的比例。我科自2002年10月开展该项技术，至2004年10月共完成83例，取得良好效果，现报告如下。展开更多
白血病是一种源于造血干细胞的恶性克隆性疾病,化疗药物治疗是治疗白血病主要手段之一[1]。近年来,经外周置入中心静脉导管（Peripherally inserted central catheter,PICC）因其创伤小、易操作、保留时间长等优点,已经广泛应用于白血...白血病是一种源于造血干细胞的恶性克隆性疾病,化疗药物治疗是治疗白血病主要手段之一[1]。近年来,经外周置入中心静脉导管（Peripherally inserted central catheter,PICC）因其创伤小、易操作、保留时间长等优点,已经广泛应用于白血病病人[2]。PICC是指从周围静脉导入,并将导管尖端置于上腔静脉的方法[3]。它的使用既符合标准的规定。展开更多
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,whic...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.展开更多
Objective:This study aimed to explore health care team members’understanding of the factors influencing the optimal selection of central venous access devices(CVADs).Methods:The data of the study was collected using ...Objective:This study aimed to explore health care team members’understanding of the factors influencing the optimal selection of central venous access devices(CVADs).Methods:The data of the study was collected using semi-structured interviews.Twenty-six hospital medical staff(four hospital manager,15 head nurses,7 nurse)with experience in peripheral or central catheterization from four regions(Northern China,Southern China,Northwest China,and Qinghai-Tibet China)in China were interviewed between June and October 2021.Content analysis was used to analyze the data.Results:The results revealed five themes and 14 sub-themes.Patients:concerns,resources,requirements,and evaluation(security concerns,support resources,life requirements,evaluation among patients);nurses:awareness,knowledge,and popularizing methods(awareness of intravenous therapy,understanding of professional knowledge,forms of popularizing methods);doctors:support and involvement(support for decision-making,involvement in intravenous work);hospital managers:authority,quality control and continuing education(management of catheterization authority,quality control of intravenous infusion,investment in continuing education)and environment:differences and commonalities(differences in social support,and current commonalities).Conclusion:Nurses and other healthcare team members’understanding,selection,use,and recommendation of CVADs have an indirect effect on patients’decision-making.Therefore,hospital managers and government departments can indirectly strengthen medical team cooperation and improve learning education in order to improve the safety of patients receiving intravenous infusions.展开更多
文摘经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)是一种经皮插入外周静脉,尖端置于右心房和上腔静脉交界处的中心静脉通路技术,留置数周到1年,应用于阶段性静脉药物注射以及肠外营养。血友病(Hemophilia)是一种性染色体连锁的遗传性凝血因子Ⅷ/Ⅸ缺乏导致的出血性疾病,主要治疗方法是凝血因子静脉输入。而静脉通路建立是儿童期、尤其是最需要治疗的年幼患儿的主要阻碍。而以清除抑制物为目的的免疫耐受诱导治疗(immune tolerance therapy,ITI)需要长期、不间断、频繁的(如隔日1次或每日1次)静脉注射。近十年,为了开展中国儿童血友病ITI治疗,我国尝试为部分血友病患儿在ITI过程中放置PICC以建立静脉通路,相关研究取得了一定临床应用成果,但也发现了如脱管、感染、血栓等问题。鉴于无指导性材料,本文检索了近五年发表在PubMed、Medline、Web of science上“儿童应用PICC”综述性文章以及近二十年相关“血友病儿童应用PICC”文章,旨在为PICC在血友病患儿的合理、安全使用提供帮助。
文摘外周导人中心静脉置管（peripherally inserted central catheter，PICC）是一种从外周静脉导入且导管末端位于上腔静脉的深静脉穿刺技术，在国外的临床护理中达到相当的比例。我科自2002年10月开展该项技术，至2004年10月共完成83例，取得良好效果，现报告如下。
文摘白血病是一种源于造血干细胞的恶性克隆性疾病,化疗药物治疗是治疗白血病主要手段之一[1]。近年来,经外周置入中心静脉导管（Peripherally inserted central catheter,PICC）因其创伤小、易操作、保留时间长等优点,已经广泛应用于白血病病人[2]。PICC是指从周围静脉导入,并将导管尖端置于上腔静脉的方法[3]。它的使用既符合标准的规定。
文摘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.
基金Practice Teaching research project of Shandong University (No.2021Y240).
文摘Objective:This study aimed to explore health care team members’understanding of the factors influencing the optimal selection of central venous access devices(CVADs).Methods:The data of the study was collected using semi-structured interviews.Twenty-six hospital medical staff(four hospital manager,15 head nurses,7 nurse)with experience in peripheral or central catheterization from four regions(Northern China,Southern China,Northwest China,and Qinghai-Tibet China)in China were interviewed between June and October 2021.Content analysis was used to analyze the data.Results:The results revealed five themes and 14 sub-themes.Patients:concerns,resources,requirements,and evaluation(security concerns,support resources,life requirements,evaluation among patients);nurses:awareness,knowledge,and popularizing methods(awareness of intravenous therapy,understanding of professional knowledge,forms of popularizing methods);doctors:support and involvement(support for decision-making,involvement in intravenous work);hospital managers:authority,quality control and continuing education(management of catheterization authority,quality control of intravenous infusion,investment in continuing education)and environment:differences and commonalities(differences in social support,and current commonalities).Conclusion:Nurses and other healthcare team members’understanding,selection,use,and recommendation of CVADs have an indirect effect on patients’decision-making.Therefore,hospital managers and government departments can indirectly strengthen medical team cooperation and improve learning education in order to improve the safety of patients receiving intravenous infusions.
