Deep venous cannulation in stroke patients experience infusion of_0.docVIP

 PAGE \* MERGEFORMAT 8 Deep venous cannulation in stroke patients experience infusion of [Keywords:] Cerebral vascular accident, catheterization, central venous, nursing Stroke patients often need to be dehydrated with 20% mannitol treatment. Mannitol, hypertonic dehydration, Department of Medicine, to improve quickly after rapid intravenous injection of plasma osmotic pressure, so that inter-organizational transfer of water to the plasma, resulting in tissue dehydration [1], is dehydrating agent commonly used in stroke patients. However, due to strong irritant mannitol drugs in the past used the scalp needle, or when the peripheral intravenous catheter Although simple, easy care, but if long-term infusion of high concentrations of intravenous drugs or strong irritant catheter placed on a longer time, can cause local venous wall chemical reaction [2], leading to swelling and even skin necrosis at the infusion. and often due to patient position or position change caused by infusion needle slow down and fail fast static Note the role of drug effects not only can not play, but increased brain edema. and stroke patients after long-term use of mannitol and other drugs, most were peripheral vascular damage, peripheral vascular puncture is very difficult. repeatedly puncture the patient much pain . to alleviate the suffering of patients, the need for effective and reliable intravenous access, to achieve the expected result of treatment of disease. our department from January 2008 to 6 months for 96 cases of stroke were treated with mannitol subclavian vein or jugular vein puncture central venous catheter line established intravenous access, to obtain satisfactory results, are summarized as follows: 1 Materials and Methods 1.1 General Information 96 cases were male and 63 cases, 33 females, aged from 25 to 90 years, mean 61.4 years, of which 5 cases of subarachnoid hemorrhage, cerebral infarction 42 cases, 45 cases of cerebral hemorrhage, intracranial infec