Effect assessment of PICC catheterization through upper arm basilic vein guided by ultrasound

Abstract

Objective To investigate the reduction of ultrasound (US) guided combined with Seldinger technique (MST) for PICC catheter through upper arm basilica vein complications. Methods To select 400 patients received PICC from July 2012 to December 2013, they were divided into control group (n=196, using common methods in fossa cubitalis place to insert catheter to basilic vein) and observation group (n=204, using ultrasound combined with MST for catheterization). We compared the pain level during catheterization, the success rate of catheterization at first time, relevant infections and complications. Results The success rate of catheterization af first time was 99.50% in the observation group and 81.63% in the control group (χ2=38.06, P<0.01), and 1.16% of mechanical phlebitis, 1.16% of venous thrombus and 0.58% catheter rapture in the observation group lower than these of the control group (χ2=18.31, 7.76, 7.89; P<0.01). The maintenance and medical expenses of control group was (1 706.21±210.20) Yuan while (1 368.44±190.33) Yuan in the control group (t=15.47, P<0.01). Conclusions Ultrasound guided upper basilic vein PICC catheter can effectively improve the success rate of catheterization, reduce the complication of catheter, and save catheter maintenance and the cost of treatment, which is worth the clinical promotion. Key words: Catheterization, central vein; Upper arm basilic vein; Intubation; Complication