Duwadi Sona, Zhao Qinghua, Budal Birendra Singh
School of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Int J Nurs Sci. 2018 Dec 21;6(1):99-105. doi: 10.1016/j.ijnss.2018.12.007. eCollection 2019 Jan 10.
Peripherally inserted central catheter (PICC) is extensively used in critical care settings, because it plays a vital role in providing safe central venous entry. However, PICC is associated with several complications, which should be detected to shorten the duration of patients' improvement, reduce health care cost, and lessen the incidence of various PICC-related complications. Therefore, this study aimed to outline current literature on PICC procedures, potential complications, and measures for prevention. Understanding evidence-based guidelines regarding insertion technique, early detection of complications, and care bundle of PICC is significant in complication prevention. Implementation of education, training, and appropriate multidisciplinary approaches on PICC care among nurses and caregivers is the key to preventing complications. Thus, the strict care of indwelling PICC lines, the targeted and reasonable PICC-associated complication prevention, and nursing care have a major clinical significance in reducing the occurrence of potential PICC complications.
外周静脉穿刺中心静脉导管（PICC）在重症监护环境中被广泛使用，因为它在提供安全的中心静脉通路方面起着至关重要的作用。然而，PICC与多种并发症相关，应予以检测，以缩短患者康复时间、降低医疗成本并减少各种PICC相关并发症的发生率。因此，本研究旨在概述有关PICC操作、潜在并发症及预防措施的现有文献。了解关于PICC插入技术、并发症早期检测及护理集束的循证指南对于预防并发症具有重要意义。在护士和护理人员中开展关于PICC护理的教育、培训及适当的多学科方法是预防并发症的关键。因此，对留置PICC导管进行严格护理、针对性且合理地预防PICC相关并发症以及护理对减少潜在PICC并发症的发生具有重大临床意义。
