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.
| Published in | Cancer Research Journal (Volume 7, Issue 4) |
| DOI | 10.11648/j.crj.20190704.16 |
| Page(s) | 157-160 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Peripherally Inserted Central Catheters (PICC), Tip-conductive, Intracavitary Electrocardiogram (IC-ECG), Comprehensive Nursing Care
| [1] | Wang AY, Sherrington C, Toyama T, Gallagher M, Cass A, Hirakawa Y, Li Q, Sukkar L, Snelling P, Jardine M. Muscle strength, mobility, quality of life and falls in patients on maintenance haemodialysis: A prospective study. Nephrology (Carlton) 2016; 2: 3-5. |
| [2] | Chang HH, Chang YK, Lu CW, Huang CT, Chien CT, Hung KY, Huang KC, Hsu CC. Statins Improve Long Term Patency of Arteriovenous Fistula for Hemodialysis. Sci Rep 2016; 6: 22197. |
| [3] | Sousa CN, Figueiredo MH, Dias VF, Teles P, Apóstolo JL. Construction and validation of a scale of assessment of self-care behaviours anticipatory to creation of arteriovenous fistula. J Clin Nurs 2015; 24: 3674-80. |
| [4] | Dobson L, Wong D G. Development of a Successful PICC Insertion Program. Journal of Vascular Access Devices, 2001, 6 (4): 31-34. |
| [5] | Moureau, Nancy L. Using ultrasound to guide PICC insertion. Nursing, 2003, 33 (12): 20. |
| [6] | Nicholson J. Development of an ultrasound-guided PICC insertion service. Br J Nurs, 2013, 19 (10): 9-17. |
| [7] | Pittiruti M, La Greca A, Scoppettuolo G. The electrocardiographic method for positioning the tip of central venous catheters. The Journal of Vascular Access, 2011, 12 (4): 280-291. |
| [8] | Mauro P, Daniele B, Ermanno B, et al. The intracavitary ECG method for positioning the tip of central venous catheters: results of an Italian multicenter study. Journal of Vascular Access, 2012, 13 (3): 357-365. |
| [9] | Oliver G, Jones M. ECG-based PICC tip verification system: an evaluation 5 years on. British Journal of Nursing, 2016, 25 (19): S4-S10. |
| [10] | Yuxia Yin, Wei Gao, Xuying Li, et al. Insertion of peripherally inserted central catheters with intracavitary ECG guidance: a randomized multicenter study in China. Journal of Vascular Access. 2018. |
| [11] | Yin Y, Wang L, Song L, Li M, Zhang H. Should We Expand the Use of Intracavitary ECG Guidance for Insertion of Peripherally Inserted Central Catheters?. Clin Surg. 2018; 3: 2208. |
| [12] | Adib-Hajbagheri M, Molavizadeh N, Alavi NM, Abadi MH. Factors associated with complications of vascular access site in hemodialysis patients in Isfahan Aliasghar hospital. Iran J Nurs Midwifery Res 2014; 19: 208-14. |
| [13] | Sousa CN, Apóstolo JL, Figueiredo MH, Martins MM, Dias VF. Interventions to promote self-care of people with arteriovenous fistula. J Clin Nurs 2014; 23: 1796-802. |
| [14] | Sousa CN, Teles P, Dias VF, Apóstolo JL, Figueiredo MH, Martins MM. Physical examination of arteriovenous fistula: The influence of professional experience in the detection of complications. Hemodial Int 2014; 18: 695-9. |
| [15] | Preljevic VT, BH. Sandvik L. Screening for anxiety and depression in dialysis patients: Comparison of the Hospital Anxiety and Depression Scale and the Beck Depression Inventory. Journal of Psychosomatic Research 2012; 73: 327-330. |
| [16] | Godet M, Rousseau J. Arteriovenous fistula. Rev Infirm 2012; 180: 53-4. |
| [17] | Robson JP Jr. A review of hemodialysis vascular access devices: improving client outcomes through evidence-based practice. J Infus Nurs 2013; 36: 404-10. |
APA Style
Yu Xia Yin, Lin Ping Song, Ming Kun Cao, Tian Heng Lu, Hai Jun Zhang. (2019). Comprehensive Nursing Intervention for the Management of a Tip-conductive Peripherally Inserted Central Catheter in Oncology Patients. Cancer Research Journal, 7(4), 157-160. https://doi.org/10.11648/j.crj.20190704.16
ACS Style
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 Res. J. 2019, 7(4), 157-160. doi: 10.11648/j.crj.20190704.16
AMA Style
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 Res J. 2019;7(4):157-160. doi: 10.11648/j.crj.20190704.16
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.crj.20190704.16,
author = {Yu Xia Yin and Lin Ping Song and Ming Kun Cao and Tian Heng Lu and Hai Jun Zhang},
title = {Comprehensive Nursing Intervention for the Management of a Tip-conductive Peripherally Inserted Central Catheter in Oncology Patients},
journal = {Cancer Research Journal},
volume = {7},
number = {4},
pages = {157-160},
doi = {10.11648/j.crj.20190704.16},
url = {https://doi.org/10.11648/j.crj.20190704.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20190704.16},
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.},
year = {2019}
}
TY - JOUR T1 - Comprehensive Nursing Intervention for the Management of a Tip-conductive Peripherally Inserted Central Catheter in Oncology Patients AU - Yu Xia Yin AU - Lin Ping Song AU - Ming Kun Cao AU - Tian Heng Lu AU - Hai Jun Zhang Y1 - 2019/12/04 PY - 2019 N1 - https://doi.org/10.11648/j.crj.20190704.16 DO - 10.11648/j.crj.20190704.16 T2 - Cancer Research Journal JF - Cancer Research Journal JO - Cancer Research Journal SP - 157 EP - 160 PB - Science Publishing Group SN - 2330-8214 UR - https://doi.org/10.11648/j.crj.20190704.16 AB - 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. VL - 7 IS - 4 ER -
Information
Email: