eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Critical Care Research

Nursing care of patients undergoing double-tunnel PICC catheterization via the axillary vein guided by intracavitary electrocardiography

  • CHENG Qiuqin ,
  • ZHANG Xinzheng ,
  • ZHOU Jianhong ,
  • GAO Xuetong
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Received date: 2024-08-26

  Online published: 2025-04-28

Abstract

To summarize the nursing experience of 8 patients undergoing double-tunnel PICC via the axillary vein guided by intracavitary electrocardiography. In view of the risks and difficulties of catheterization caused by poor upper extremity venous conditions,high catheterization difficulty,and susceptibility to bloodstream infections and venous thrombosis,we established an interdisciplinary PICC catheterization team,and implemented detailed analysis of catheterization difficulties,real-time monitoring of catheterization risks,comprehensive assessment of potential complications,and heightened emphasis on catheter maintenance. Through meticulous nursing care,the eight patients successfully underwent PICC catheterization. Patients had a good experience with the catheter during the follow-up period,with no catheter-related complications.

Cite this article

CHENG Qiuqin , ZHANG Xinzheng , ZHOU Jianhong , GAO Xuetong . Nursing care of patients undergoing double-tunnel PICC catheterization via the axillary vein guided by intracavitary electrocardiography[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(5) : 582 -584 . DOI: 10.3761/j.issn.2096-7446.2025.05.014

References

[1] 麻盛淼, 杨浩杰, 孙红, 等. 心腔内电图定位技术在中心静脉置管中的应用进展[J]. 中国护理管理, 2022, 22(11):1737-1742.
  Ma SM, Yang HJ, Sun H, et al. Research progress of intra-cardiac electrocardiogram in catheter tip positioning for cen-tral venous access devices[J]. Chin Nurs Manag, 2022, 22(11):1737-1742.
[2] 兰恒平, 朱乾云, 吕玲, 等. 超声引导穿刺联合腔内心电图定位在成年肿瘤PICC置管患者中的应用[J]. 介入放射学杂志, 2023, 32(4):389-393.
  Lan HP, Zhu QY, Lü L, et al. Clinical application of ultra-sound-guided puncture combined with intracavitary elec-trocardiogram in PICC implantation positioning in adult cancer patients[J]. J Interv Radiol, 2023, 32(4):389-393.
[3] Frykholm P, Modiri AR, Frithiof R. Case series of peripherally inserted central catheter insertion in young children:A new approach to the axillary vein[J]. Paediatr Anaesth, 2024, 34(7):662-664.
[4] 金颖, 孙建宏. 床旁超声监测腋静脉变异度在围术期容量管理的应用进展[J]. 临床麻醉学杂志, 2024, 40(1):89-92.
  Jin Y, Sun JH. Application progress on bedside ultrasound monitoring of axillary vein variability in perioperative volume management[J]. J Clin Anesthesiol, 2024, 40(1):89-92.
[5] 刘齐芬, 刘兴玲, 张淑珍, 等. PICC隧道针及皮下隧道建立方法的改良及应用[J]. 中华护理杂志, 2022, 57(5):532-535.
  Liu QF, Liu XL, Zhang SZ, et al. Improvement and application of PICC subcutaneous tunnel needle[J]. Chin J Nurs, 2022, 57(5):532-535.
[6] 中心静脉血管通路装置安全管理专家组. 中心静脉血管通路装置安全管理专家共识(2019版)[J]. 中华外科杂志, 2020, 58(4):261-272.
  The Expert Group on Safety Management of Central Venous Access Device. The expert consensus on safety management of central venous access device[J]. Chin J Surg, 2020, 58(4):261-272.
[7] Gorski LA, Hadaway L, Hagle ME, et al. Infusion therapy stan- dards of practice,8th edition[J]. J Infus Nurs, 2021, 44(1S Suppl 1):S1-S224.
[8] 牟欣萍, 陶琳, 符琰, 等. 经外周静脉置入中心静脉导管相关血流感染防控策略进展[J]. 华西医学, 2024, 39(3):494-499.
  Mu XP, Tao L, Fu Y, et al. Progress in prevention and control strategies for peripheral inserted central catheterrelated bloodstreams infection[J]. West China Med J, 2024, 39(3):494-499.
[9] 许汇娟, 刘颖, 姚嘉丽, 等. 导管/静脉直径比预测血液肿瘤患者有症状性PICC相关血栓的研究[J]. 护理学杂志, 2022, 37(13):44-48.
  Xu HJ, Liu Y, Yao JL, et al. Catheter to vein ratio predicts symptomatic venous thromboembolism related to peripherally inserted central catheter in patients with hematologic malign ancy[J]. J Nurs Sci, 2022, 37(13):44-48.
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