PICC in neurosurgery and nursing care.doc

 PAGE \* MERGEFORMAT 7 PICC in neurosurgery and nursing care Peripherally inserted central venous catheter (PICC into a peripheral vein and from the terminal is located in the superior vena cava or subclavian vein deep venous catheter technology. Neurosurgery in the first to use our hospital. As the transfusion management of neurosurgical patients the existence of several major features: First, use of different time periods dehydration drugs, many drugs on the vascular puncture and to stimulate greater damage. Second, the treatment cycle is long, more than 10 days. Third, patients in the disturbance of consciousness and agitation, etc., general needle and catheter needle off easily. Fourth, the high parenteral nutrition in critically ill patients need treatment and indwelling venous access. Given all of the above reasons, we had to adapt to the patient in the early tube, greatly improving the patient’s transfusion management, thereby to ensure the smooth progress of the treatment, reducing the suffering of patients and improve the efficiency of the nurses. as to the specific care coverage. 1 Data and methods 1.1 General Information Our department since October 2005 has a total of 60 cases of catheter, including 42 males, 18 females, aged 18-80 years, mean age 42 years. Of which 34 cases of traumatic brain injury, 18 cases of hypertensive cerebral hemorrhage, subarachnoid hemorrhage in 8 cases. 1.2 Materials Are produced by the U.S. Braun PICC catheter puncture bag, 20 ml syringe 2, sterile gloves, 2, iodine, cotton swabs, a bottle of heparin saline, measuring tape, elastic bandages. 1.3 Methods 1.3.1 informed before intubation, patients and their families to explain the purpose and method of intubation, postoperative complications and may occur after conventional catheter care, with the consent agreement signed informed consent. 1.3.2 to prepare the skin before intubation and vascular assessment of the upper side pun