Method for remaining PICC catheter through jugular vein by virtue of double-channel technique

Abstract

The invention provides a method for remaining PICC catheter through a jugular vein by virtue of a double-channel technique. The method comprises the following steps: after jugular vein puncture is successfully carried out through ultrasonic guidance and the catheter is fed to a length of a preset pipe, establishing a subcutaneous tunnel with a length of 1cm at the same level of a puncture point byvirtue of a tunnel puncture needle, establishing a relatively long subcutaneous tunnel from an outside end of the subcutaneous tunnel to a site which is far from the lower part of a midclavicular line by two cross fingers, enabling the puncture to penetrate into the two tunnels and penetrate out of a body surface outlet in the site, trimming the catheter, and fixing the catheter at a wall of thechest. According to the method, various difficult problems of a current manner of directly remaining the PICC catheter through direct puncture through the jugular vein are solved, the operation quality is high, complications of a patient with the catheter can be reduced, the life quality is improved, and the method is capable of remarkably reliving the physiological, mental and economic burdens ofthe patient and the working intensity of medical workers and increasing the satisfaction degree of the patient.

Description

technical field [0001] The invention relates to a method for indwelling a PICC catheter through an internal jugular vein, in particular to a method for indwelling a PICC catheter through an internal jugular vein using a double-tunnel technique. Background technique [0002] Peripherally inserted central catheters (PICCs) have been widely used in chemotherapy and total parenteral nutrition for cancer patients. Clinically, there are some cancer patients such as: bilateral breast cancer surgery, combined limb absence, axillary or Peripheral venous reflux obstruction caused by subclavian mass, history of peripheral venous thrombosis, etc. make peripheral vascular access difficult, so indwelling PICC is not suitable. Indwelling catheter through internal jugular vein puncture is the first choice for such patients. The watch outlet is located in the neck, which easily exposes the patient's privacy and affects the appearance. It also restricts the patient's position and activities, ...

AI Technical Summary

Problems solved by technology

[0002] Peripherally inserted central catheters (PICCs) have been widely used in chemotherapy and total parenteral nutrition for cancer patients. Clinically, there are some cancer patients such as: bilateral breast cancer surgery, combined limb absence, axillary or Peripheral venous reflux obstruction caused by subclavian mass, history of peripheral venous thrombosis, etc. make peripheral vascular access difficult, so indwelling PICC is not suitable. Indwelling catheter through internal jugular vein puncture is the first choice for such patients. The watch outlet is located in the neck, which easily exposes the patient's privacy and affects the appearance. It also restricts the patient's position and activities, which affects the patient's daily life. Because the neck skin is loose, the sebaceous glands secrete vigorously, and the film is not firmly pasted, it is easy to cause local skin allergies, infections and Various complications such as catheter displacement and even accidental prolapse lead to unplanned extubation, which not only increases the pain of the patient, but also increases the work intensity of the medical staff and reduces the satisfaction of the patient