Intravenous catheter application experience in brain surgery.docVIP

 PAGE \* MERGEFORMAT 4 Intravenous catheter application experience in brain surgery Intravenous catheter, also known trocar. Intravenous catheter as an alternative to needle the scalp, it has reduced the number of puncture on the stimulation of small blood vessels, reducing fluid leakage, prolapse of blood vessels is not easy, but also conducive to clinical medicine and emergency rescue, etc., is widely used in our department. neurosurgical patients because of the time required by the application of dehydrating agents and antibiotics, the use of indwelling puncture needle can reduce the number of patients to reduce pain, and irritable patients can prevent liquid leakage and so on. But time is limited use of catheter and our department with a dehydrating agent can lead to fluid leakage, according to our department patient, now in clinical use his experience in the operation are summarized as follows: 1 Clinical data Record brain surgery in November 2009 on July -2010 750 cases using the catheter and the use of a summary, a one-time successful puncture 720. 2 operating skills 2.1 Select the puncture site usually selected upper limb veins, select the Straight filling and elastic blood vessel puncture, to avoid using near the nerves, joints and hardening of blood vessels, also suffering from skin disease and infection at cannulation taboo. 2.2 Model selection indwelling needle according to actual situation, the general adult use large catheters, pediatric use of small catheter (the manufacturers of different models. Dehydrating agent, such as in patients without stable condition and are generally relatively small size of the catheter used, because the small size catheter into the blood after floating in the bloodstream, reducing mechanical friction and damage to the vessel wall, thereby reducing the mechanical phlebitis, and the occurrence of thrombophlebitis. 2.3 Puncture good disinfectant, check catheter is intact, rotating