Power+PICC临床应用课件.pptVIP

超声引导下置管 ZIM 穿刺技术 PICC vs CICC 导管尖端需要到达的位置 腔内ECG定位 护 理 专门培训过的护士操作 每天评估，及时拔除 更换敷料的集束化护理 导管冲洗和封管 导管冲洗 冲洗时机：使用药物、输液、营养制剂、血制品前后、采血后、封管前 一般情况：生理盐水10ml 血制品、脂剂、造影剂：生理盐水20ml。 冲洗手法：脉冲式，2-3ml/次 封 管 各项研究结论不一 每8h的肝素稀释液封管没有必要 肝素封管在血细胞采集和血透等特定情况下仍被制造商推荐使用 总之，使用肝素充分冲洗不如使用生理盐水封管重要。特别强调使用所有导管前后的脉冲技术和正压封管手法 结 论 ?大量证据表明 power-injectable picc是急救护理时令人信服的选择 强烈建议power-injectable picc应用于危重症病人。 肿瘤化疗患者应用 研究摘要 材料：三种第三代聚氨酯power-injectable PICCs,均为4Fr，两种为近端瓣膜型，一种为无瓣膜型 对象：180例化疗成人患者 * * The PowerPICC catheter is a PICC that incorporates a power injection indication. This increases the usefulness of PICCs because now one Vascular Access Device (VAD) can be used to access the patient rather than having to access the patient with an additional VAD if contrast enhanced studies are required. This is less expensive to the hospital overall and is better for the patient because they are stuck fewer times. * * 4- PowerPICC Launch Packet, pg. 4 The PowerPICC catheter is a PICC that incorporates a power injection indication. This increases the usefulness of PICCs because now one Vascular Access Device (VAD) can be used to access the patient rather than having to access the patient with an additional VAD if contrast enhanced studies are required. This is less expensive to the hospital overall and is better for the patient because they are stuck fewer times. 抗多种化学物质：泰素帝、紫杉醇 * * * Boz FIGURE 1. Effect of injection rate on arterial contrast enhancement. Simulated aortic time-enhancement curves in which the volume of contrast medium is held constant at 150 mL and the concentration at 320 mgI/mL. As the rate of injection increases, the intensity of contrast enhancement increases and the duration of contrast enhancement decreases. The effect of injection rate on arterial enhancement is shown in Figure 1. Three time-enhancement curves are created by simulating the injection of contrast material at rates of 1, 3, and 5 mL/sec, while keeping the volume (150 mL) and the concentration (320 mgI/mL)