Elderly critically ill patients on the subclavian vein catheterization in the clinical care.docVIP

 PAGE \* MERGEFORMAT 5 Elderly critically ill patients on the subclavian vein catheterization in the clinical care [Abstract] Objective 度过危险期 for elderly critically ill patients to gain time, reduce repeated superficial vein puncture of peripheral pain. Methods venous catheter care, hospital infection control and reducing complications. Results The patients receive timely supply of liquid improved, no complications, the treatment achieved good results. Conclusion subclavian vein puncture technique high security treatment, patients are easy to accept, to facilitate the observation care. [Keywords:] subclavian venous catheter care Since 1968, the United States will subclavian vein puncture technique has been applied to long-term TPN therapy, a variety of applications to improve quality of foreign or multi-chamber single-chamber multi-functional central venous catheter - through the subclavian vein catheter. Elderly patients with acute onset, disease progression is rapid, high mortality, elderly patients with peripheral vein puncture easily damaged, the smooth flow of intravenous access in an emergency case or not, plays an important role in our department from January 2009 to January 2010 were used in the subclavian 40 cases of venous catheterization, now its nursing described as follows: 1, clinical data A total of 40 patients in this group of patients, including 26 males and 14 females, aged 40-86 years, average number of days to 10 days. 2, Nursing Venous catheter should be observed in patients with initial respiratory rate, rhythm or without change, because the posterior wall of the subclavian vein and the distance between the pleura only 5mm-7mm, improper operation if the catheter, the tip penetrating injuries to blood vessels may pleura caused by pneumothorax, hemothorax, thus affecting the patient breathe. puncture needle should be observed at the beginning of local hematoma formation, and subcutaneous emphysema. To maint