Application of Whole-Process Ultrasound-Guided PICC Catheterization in Critically Ill Children
Objective To explore the application effect of whole-process ultrasound-guided peripherally inserted central catheter(PICC)catheterization in critically ill children.Methods A total of 31 pediatric patients with PICC catheterization from March to May 2022 were selected as the control group,and the catheterization was performed using ultrasound guided modified Seidinger technique combined with intracardiac electrocardiogram.From June to August 2022,38 pediatric patients with PICC catheterization were selected as the observation group,and ultrasound was applied throughout the entire catheterization process on the basis of the control group.The success rate of the first sheath delivery,the malposition rate of internal jugular vein during catheterization,the optimal position rate of catheter tip,and the incidence of complications during catheter indwelling were compared between the two groups of children.Results The success rate of the first sheath delivery in the observation group was higher than that in the control group(P＜0.05),the rate of internal jugular vein ectopia during catheterization was lower than that in the control group(P＜0.05),the accuracy of the catheter tip was higher than that in the control group(P＜0.05),and the incidence of complications during catheter placement was lower than that in the control group(P＜0.05).Conclusion The application of whole-process ultrasound-guided PICC catheterization can not only ensure accurate puncture,but also ensure the accuracy of catheterization path,reduce malposition rate of internal jugular vein,but also ensure the optimal position of catheter tip.
critically ill childrenultrasound-guidedperipherally inserted central catheter
万方数据
维普
