The clinical application of different approch for central venous catheterization

Abstract

Objective To compare the different approch for central venouscatheters. Materials and methods The disposable peripherally inserted central catheter or PICC (B-D Company,USA)and the single or double lumen central venous catheter (Arrow Company,USA) were used.Patients needing long-term iv therapy were enrolled in the study for 30 days.there were 80 patinets in two groups(n=40∶40):In Group A,the single or double lumen central venous catheters were placed into superior vena cava via subclavian vein;in Group B,PICCs were placed into superior vena cava via peripheral vein. Results Success rate:97/5% (39 placement) for PICC and 100% (40 placement) via subclavian venous access.Catheter occlusion rate:22.5%(9 placement)for PICC and 5% (2 placement) via subclavian venous access.No pneumothorax or hemothorax complicated or hemothorax complicated the PICCs while 1 (2.5%) pneumothorax occurred via subclavian venous access.Catheter translocation happened in 2 (5%) of the PICCs while 1 via subclavian access.Phlebitis was noticed in 2 (5%) of the PICCs but none via subclavian access. Conclusions PICC was safe to place,which could partly substitute the central cathheterization via subclavian venous access,Speical for nutrition sapport.