Research progress in the methods of identifying the PICC tip malposition

doi:10.3877/cma.j.issn.2096-1537.2019.04.013

Abstract

Abstract:

There are many ways to identify the peripherally inserted central catheter tip malposition, including anthropometric measurements, intracavitary electrocardiographic (ECG), ultrasound localization technology, electromagnetic navigation technology and chest X-ray. In order to identify PICC tip position promptly and accurately before transfusion, we summarize the progress of the above methods for identifying PICC tip position, wish to deliver some help to colleagues.

Key words: Peripherally inserted central catheter, Malposition, Ultrasound localization, Intracavitary electrocardiographic

Jiale Zhang, Rong Jiang, Fen Liu, Kejian Qian. Research progress in the methods of identifying the PICC tip malposition[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2019, 05(04): 364-367.

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URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2019.04.013

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References 34

1	杨明玉, 于丽, 程艳爽, 等. 四个极限体位对PICC尖端位置改变的影响 [J]. 中华现代护理杂志, 2016, 22(11): 1546-1548.
2	张加乐, 江婷, 马迎春, 等. 选择适宜导管/静脉比对预防ICU患者经外周置入中心静脉导管并发上肢深静脉血栓的价值 [J]. 中国中西医结合急救杂志, 2017, 24(4): 369-373.
3	Li X, Wang H, Chen Y, et al. Multifactor analysis of malposition of peripherally inserted central catheters in patients with cancer [J]. Clin J Oncol Nurs, 2015, 19(4): E70-E73.
4	Infusion Nurses Society. Infusion nursing standards of practice [J]. J Infusion Nurs, 2016, 39(1S): S1-S140.
5	Tomaszewski KJ, Ferko N, Hollmann SS, et al. Time and resources of peripherally inserted central catheter insertion procedures: a comparison between blind insertion/chest X-ray and a real time tip navigation and confirmation system [J]. Clinicoecon Outcomes Res, 2017, 9: 115-125.
6	Greca AL. Evaluation Techniques of the PICC Tip Placement[A]//Sandrucci S, Mussa B. Peripherally Inserted Central Venous Catheters [M]. Milano, Springe: 2014: 64-83.
7	Song L, Li X, Guo Y, et al. Malposition of peripherally inserted central catheter: Experience from 3012 cancer patients [J]. Int J Nurs Pract, 2014, 20(4): 446-449.
8	杨婉仪, 陈少敏, 曹莎. 3种PICC置管长度体外测量方法的比较 [J]. 护理学报, 2012, 19(4A): 68-69.
9	张瑜, 丛壮, 王迎春, 等. 超声引导下贵要静脉PICC体外测量公式改进的临床研究 [J]. 医学与哲学, 2015, 36(22): 54-56.
10	胡小艳, 段盈芳, 赵熙, 等. 静脉腔内心电图在PICC尖端定位中的应用进展 [J]. 中华现代护理杂志, 2016, 22(3): 440-444.
11	刘聿秀, 高玉芳, 王秀荣, 等. 床旁超声在PICC导管异位中的应用 [J]. 护理学杂志, 2010, 25(7): 58-59.
12	黄丽英, 潘锋, 陈勇, 等. 造影剂结合超声对减少肘部PICC置管导管异位的效果 [J]. 护理与康复, 2015, 14(9): 858-859.
13	陈莎, 闻曲, 鲍爱琴, 等. 超声引导下PICC置管术中脉冲式推注生理盐水判断颈内静脉异位 [J]. 护理学杂志, 2012, 27(7): 59-60.
14	高春恒, 何丽娟. 声在定位PICC导管头端位置中的作用 [J]. 中国临床医学影像杂志, 2015, 26(3): 216-217.
15	Alonso-Quintela P, Oulego-Erroz I, Rodriguez-Blanco S, et al. Location of the central venous catheter tip with bedside ultrasound in young children: can we eliminate the need for chest radiography? [J]. Pediatr Crit Care Med, 2015, 16(9): e340-e345.
16	Khatib K, Bhoi S, Galwankar S, et al. Confirmation of endovenous placement of central catheter using the ultrasonographic ″bubble test″ [J]. Indian J Crit Care Med, 2015, 19(1): 38-41.
17	Prekker ME, Chang R, Cole JB, et al. Rapid confirmation of central venous catheter placement using an ultrasonographic ″Bubble Test″ [J]. Acad Emerg Med, 2010, 17(7): e85-e86.
18	Vezzani A, Brusasco C, Palermo S, et al. Ultrasound localization of central vein catheter and detection of postprocedural pneumothorax: An alternative to chest radiography [J]. Crit Care Med, 2010, 38(2): 533-538.
19	惠慧, 马燕兰, 郭艳艳, 等. 不同握球运动方式对PICC置管患者静脉血流及相关性血栓的影响 [J]. 中华现代护理杂志, 2018, 24(12): 1391-1398.
20	刘莉, 郭怀悦, 周晓琼. PICC导管置入过长引起心电图改变1例的护理 [J]. 昆明医学院学报, 2008, 29(2): 203-204.
21	冯毕龙, 姚述远, 周素军, 等. PICC置管过程中腔内心电图的变化及其对置管操作的指导作用 [J]. 中华护理杂志, 2010, 45(1): 26-28.
22	智晓旭, 陈传英, 孟爱凤, 等. 基于PDCA循环法的心电定位技术培训在提高PICC置管尖端到位率中的应用 [J]. 中华现代护理杂志, 2017, 23(36): 4578-4582.
23	Wang G, Guo L, Jiang B, et al. Factors influencing intracavitary electrocardiographic P-wave changes during central venous catheter placement [J]. PLoS One, 2015, 10(4): e0124846.
24	Bidgood C. Improving the patient experience with real-time PICC placement confirmation [J]. Br J Nurs, 2016, 25(10): 539-543.
25	尤佳, 徐凯, 李伟栋, 等. 成人PICC导管末端定位的影像学探讨 [J]. 实用放射学杂志, 2015, 31(2): 204-207, 233.
26	张惠, 高玉芳, 房芳, 等. 心电图P波定位PICC导管尖端位置的筛检试验评价 [J]. 齐鲁护理杂志, 2017, 23(4): 26-28.
27	林翠芬, 肖娓珠, 柳燕瑛. 心电图对PICC尖端最佳位置定位及置管并发症的影响 [J]. 护理学杂志, 2015, 30(23): 38-40.
28	Oliver G, Jones M. ECG or X-ray as the ″gold standard″ for establishing PICC-tip location [J]. Br J Nurs, 2014, 23(19): S10-S16.
29	Ridge CA, Litmanovich D, Molinari F, et al. Radiographic evaluation of central venous catheter position anatomic correlation using gated coronary computed tomographic angiography [J]. J Thorac Imaging, 2013, 28(2): 129-133.
30	孙红, 王蕾, 聂圣肖. 心电图引导PICC尖端定位的多中心研究 [J]. 中华护理杂志, 2017, 52(8): 916-920.
31	Johnston AJ, Bishop SM, Martin L, et al. Defining peripherally inserted central catheter tip position and an evaluation of insertions in one unit [J]. Anaesthesia, 2013, 68(5): 484-491.
32	Jeon EY, Koh SH, Lee IJ, et al. Useful equation for proper estimate of left sideperipherally insertedcentral venous catheter length in relation to the height [J]. J Vasc Access, 2012, 16(1): 42-46.
33	汪华萍, 杨利霞, 石岚, 等. 腔内心电图联合超声探查在PICC定位中的应用 [J]. 护理实践与研究, 2016, 13(4): 114-116.
34	郑晓玲，魏清风，汪华萍，等. 腔内心电图联合超声探查在PICC尖端定位中的应用研究 [J]. 重庆医科大学学报，2015，40(12): 1576-1581.

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