One case of PICC decannulation difficult processing experience due to lower limb vein organic compound formation in preterm neonate

Abstract

Objective To analyze the decannulation difficult reason and the application of multidisciplinary cooperation of 1 case of premature neonate with leg vein organic compound formation. Methods Through the PICC decannulation difficult reason analysis and processing, drawing tube under multidisciplinary cooperation comprehensive intervention. Results Children managed to root out PICC under digital subtraction angiography (DSA), but organic compound in the popliteal vein remained. No organic compound falling off and blood clots occurrd after 6-month follow-up. Conclusion For neonatal PICC decannulation difficult, we can give appropriate postures, wet hot compress, local massage method, as well as ultrasound for confirmation of presence of thrombus when necessary, such as machine compound and fibrin sheath formation. Application of multidisciplinary cooperation can improve the success rate of minimally invasive decannulation. According to the cause of decannulation difficult and take effective preventive measures is the key point of PICC catheter nursing. Key words: Catheterization, peripheral; Premature; Difficult decannulation; Nursing; Multidisciplinary team