《Appropriate posture of cancer patients treated with PICC to prevent internal jugular vein ectopic》.pdfVIP

Chinese-German J Clin Oncol September 2014, Vol. 13, No. 9, P432–P434 DOI 10.1007/s10330-014-1344-x Appropriate posture of cancer patients treated with PICC to prevent internal jugular vein ectopic Zhaoyan Liu Oncology Department, Rizhao People’s Hospital, Rizhao 276826, China Received: 9 June 2014 / Revised: 23 June 2014 / Accepted: 5 August 2014 © Huazhong University of Science and Technology 2014 Abstract Objective: We aimed to study the appropriate posture of peripherally inserted central catheter (PICC) patients, to reduce the incidence of internal j ugular vein heterotopia. Methods: From 2009 to 2013, a total of 290 cases with PICC were enrolled in our study. They were divided into two groups. The patients in control group took regular position, which mean pros- tration, upper limb of tube side was abduction 90°, head moved to puncture side in order to block the internal j ugular vein. On the basis of conventional body position putting, posture of patients in observation group was improved, the head remain neu- tral, and had 180° angle with trunk longitudinal axis, not favor any side.After ensuring the upper limb abduction, had 90° angle with the trunk, then catheter was inserted slowly. The j ugular venous catheter heterotopia rate was j udged by X-ray results. Results: The j ugular venous catheter heterotopia rate of control group and observation was 12.8% and 0.68%, respectively. The difference between two groups was statistically significant (P 0.01). Conclusion: The body posture improvement can prevent discomfort of patients and reduce the j ugular venous catheter heterotopia rate of PICC. Key words peripherally inserted central catheter (PICC); internal j ugular vein heterotopia; body posture