Volume 7, Issue 4, December 2019, Page: 157-160
Comprehensive Nursing Intervention for the Management of a Tip-conductive Peripherally Inserted Central Catheter in Oncology Patients
Yu Xia Yin, Department of Vascular & Intervention, Tenth Peoples' Hospital of Tongji University, Shanghai, China; National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Lin Ping Song, The Second Department of Tumor, First Affiliated Hospital of PLA General Hospital, Beijing, China
Ming Kun Cao, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Tian Heng Lu, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Hai Jun Zhang, Department of Vascular & Intervention, Tenth Peoples' Hospital of Tongji University, Shanghai, China; National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Received: Nov. 4, 2019;       Accepted: Nov. 22, 2019;       Published: Dec. 4, 2019
DOI: 10.11648/j.crj.20190704.16      View  112      Downloads  62
Abstract
Peripherally inserted central catheters (PICCs) play a great role in infusion of chemotherapy, parenteral nutrition, and intravenous fluid. It has the advantages of safety, convenience, long duration and low infection rate compared to central venous catheters (CVCs), becoming more and more popularized in clinical application. However, the clinical application of PICCs also causes complications, such as local infection, phlebitis, deep venous thrombosis, catheter malposition and breakage as well as liquid extravasation. The total complications rate varies mainly for three aspects: patients-related, catheter-related and operation-related. Disease types and severity of patients have been deeply researched. More concerns have been paid on the technology of catheter and operation to decrease the related complications. The intracavitary electrocardiogram (IC-ECG) method has been developed to be a safe, accurate and highly cost effective method. However, the traditional IC-ECG method is complicated and time consuming. Many researches have carried out to overcome the shortcomings of traditional methods. The tip-conductive PICC method came into being. The application of tip-conductive PICC greatly increases the first-attempt successful tip location and the tip location satisfactory. In this article, we reviewed the principle and characteristics of tip-conductive PICC, and comprehensive nursing care intervention including puncture, infection prevention, mechanical phlebitis, catheter blockage and catheter heterotopia and rupture.
Keywords
Peripherally Inserted Central Catheters (PICC), Tip-conductive, Intracavitary Electrocardiogram (IC-ECG), Comprehensive Nursing Care
To cite this article
Yu Xia Yin, Lin Ping Song, Ming Kun Cao, Tian Heng Lu, Hai Jun Zhang, Comprehensive Nursing Intervention for the Management of a Tip-conductive Peripherally Inserted Central Catheter in Oncology Patients, Cancer Research Journal. Vol. 7, No. 4, 2019, pp. 157-160. doi: 10.11648/j.crj.20190704.16
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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