Deep vein indwelling tube in the elderly Intensive Care Patients.docVIP

 PAGE \* MERGEFORMAT 11 Deep vein indwelling tube in the elderly Intensive Care Patients [Keywords:] deep vein indwelling tube, Intensive elderly, nursing Elderly patients because the tissues and organs of the aging, leading to vascular fragility, increased permeability, decreased cardiac function, leading to limb peripheral circulation is not filling, small blood vessels, migraine, increased puncture difficult. The average age of patients in our department 80 years mostly in patients with heart failure, lung infection, multiple organ failure, advanced cancer, acute myocardial infarction. critical condition, puncture is difficult, changes in the condition can not be timely and effective rapid establishment of intravenous access, of rescue medication. using deep venous catheterization, which alleviate the suffering of patients, but also solve problems of nursing on the needle, reducing the workload of care, improve efficiency, but will not delay the rescue medication. Since 2005, extensive use of our department Deep Vein indwelling tube, 30 cases of patients with acute critical illness after receiving a satisfactory result. But most elderly patients with acute critical illness was cachexia, blood vessel elasticity is extremely poor and poor physical defense, low resistance, are of deep vein indwelling tube retention factor, so deep vein indwelling tube nursing care as an important task. now with cases of deep vein indwelling tube in the elderly in Intensive Care. 1 Clinical data 30 cases of hospitalized patients, aged 83 to 93 years old, living vegetative state in 2 cases, 10 cases of advanced cancer, severe heart failure with respiratory failure in 9 cases, 5 cases of pulmonary infection and acute myocardial infarction in 4 cases. Using Abel disposable sterile Center venous puncture bag, both femoral vein catheterization. the patient supine, patients exposed to the groin area, routine skin preparation, needle side of the thigh abduction and external