BeVier P A, Rice C E
J Intraven Nurs. 1994 Jul-Aug;17(4):201-5.
The lack of published literature specific to the pediatric population (1 month to 18 years) was a major deterrent to the initiation of a peripherally inserted central catheter (PICC) and midline catheter program in a 260-bed pediatric hospital. The intravenous team assumed responsibility for the program initiated by the physicians. The following challenges were encountered: administrative issues, insertion-related discomfort, adverse clinical reactions, equipment inadequacies, catheter maintenance, and staff education. To date, the i.v. team has successfully placed 84 catheters and concludes that the procedure is invaluable for pediatric patients requiring an extended course of i.v. therapy.
缺乏专门针对儿科人群（1个月至18岁）的已发表文献，这成为一家拥有260张床位的儿科医院启动外周静脉穿刺中心静脉导管（PICC）和中线导管项目的主要障碍。静脉输液团队负责由医生发起的该项目。遇到了以下挑战：管理问题、穿刺相关不适、不良临床反应、设备不足、导管维护以及人员教育。迄今为止，静脉输液团队已成功置入84根导管，并得出结论，该操作对于需要长期静脉输液治疗的儿科患者来说非常宝贵。
