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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (20): 59-62.doi: 10.16460/j.issn1008-9969.2019.20.059

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Effect of Normal Saline Combined with Acuductor-free Ultrasound-guided Modified Seldinger Technique in PICC Placement

LI Lan1a, CAI Zhi-yun1a, PENG Jian2, LIN Yu-feng1a, HAN Qiu-ying1b   

  1. 1a. PICC Outpatient; 1b. Dept. of Nursing Administration, Zhongshan Hospital Affiliated to Xiamen University, Xiamen 361004, China;
    2. School of Nursing, Fudan University, Shanghai 200030, China
  • Received:2019-04-18 Online:2019-10-25 Published:2020-07-17

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Abstract: Objective To evaluate the effect of normal saline combined with acuductor-free ultrasound-guided modified Seldinger technique in PICC placement. Methods Between January 2016 and March 2018, a total of 2,538 hospitalized patients undergoing PICC placement were assigned to control group(n=1 268)and treatment group(n=1 270) randomly. The control group received traditional ultrasound-guided modified Seldinger technique in PICC placement, and the treatment group normal saline combined with acuductor-free ultrasound-guided modified Seldinger technique in PICC placement. The catheterization cost, success rate of first puncture and complication incidence in the two groups were compared. Results Catheterization cost of the treatment group was remarkably decreased when compared with that in the control group [￥1884vs.￥2023] and success rate of first puncture of the treatment group was significantly higher than that of the control group (P<0.05). There was no statistically significant difference between the control group and the treatment group in the incidence of complications such as arterial error, nerve injury and catheterization difficulty during PICC catheterization (P>0.05). Conclusion Normal saline combined with acuductor-free ultrasound-guided modified Seldinger technique is applicable in PICC placementas it can effectively improve the success rate of first puncture,reduce complication incidence during the catheterization and the total cost of catheterization.

Key words: normal saline, acuductor, PICC, modified Seldinger technique

CLC Number: 

  • R472
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