Neonatal femoral vein puncture failure Analysis and Countermeasures.doc

 PAGE \* MERGEFORMAT 6 Neonatal femoral vein puncture failure Analysis and Countermeasures [Keywords:] newborn; femoral vein puncture Femoral vein puncture and blood tests is the neonatal clinical examination and bacterial culture done to assist diagnosis, treatment, care and operation of an essential time. If the operator or the operating method of blood a lack of skills is not correct, will give patients the pain increased, the delay diagnosis and treatment, and to bring some inconvenience to nursing, the author observed the January to December 2008 and Child Health Hospital NICU in Yinchuan femoral vein puncture for blood collection of 1 000 cases of neonatal, puncture failure analysis, summarized Some nursing experience, are as follows. 1 Materials and Methods 1.1 General Information Select January to December 2008 in the NICU for femoral vein puncture blood of newborns 1 000 cases, of which 600 cases of hyperbilirubinemia, polycythemia 100 cases, 300 cases of premature children. 1.2 Methods Routine blood Gather the items to feed the children with milk, placed in operation in a quiet state of the stage, the supine position, set a good puncture site, the femoral vein in the shares of Triangle area, 0.5 cm in the femoral artery at the inside. Can also be used touch the nest method that has a finger in the groin at the belly the size of the cavity, will elevate the hip in children (needle side) flatten the groin, the thigh outreach, one to help push, one operation, regular skin disinfection, select the femoral pulse 0.5 cm at the inside of the vertical needle. into the needle length 2 / 3 (all needles go in obese children, premature children into the 1 / 3), pulling back after the side suction pump blood back to see the amount of blood required, needle injection puncture point after pressing with a cotton swab 5 min or more, that is not bleeding so far, collaborators must pay attention to children with warm and looking, breathing. 2 Discussio