PICC完整培训内容.pptVIP

* Improper position of introducer: insert at same angle of venous pathway Improper positioning: supine, 90 degree angle, chin to shoulder Measurement: know your anatomy, which vein you are cannulating If in doubt, measure for longest course Existing intrathoracic devices:if inserting a PICC with another intravascular device in situ, use contralateral side if at all possible Chest Mass: lymphoma e.g. unable to advance, re-position, +++ flushing, x-ray * E.g. ICU patient - easy insertion, huge vein, basilic, good blood return, removed guidewire, applied dressing noticed wire all curled up!!! *