Abstract

ObjectiveTo report a method of PICC catheterization with the aid of a new medical guide wire, and to discuss the curative effect.MethodsFive hundred and thirteen patients who visited our hospital from January 2013 to December 2019 for PICC catheterization were selected as study subjects. Random number method was used to group patients. General information was recorded for both groups. Patients in the observation group received catheterization with the aid of a new medical guide wire. The control group received catheterization via conventional guide wire. The success rate of the first catheterization, the success rate of the catheterization, the timing of the catheterization, the complications and the position of the catheter end were compared between the two groups.ResultsThere was no significant difference in general information between the two groups. After analyzing the puncture situation of the two groups, it was found that the average catheterization time of the observation group was shorter than that of the control group, and the difference was statistically significant. Patients in the observation group had higher success rate of one-time catheterization and catheterization success rate, and the difference was statistically significant. The incidences of occult thrombosis, phlebitis and catheter blockage in the observation group were lower than those in the control group, and the difference was statistically significant. The incidence of dominant thrombosis and bleeding at puncture point in the observation group was also lower than that in the control group, but the difference was not statistically significant.ConclusionThe new type of medical guide wire component is effective for PICC catheterization and worthy of further promotion.

Highlights

  • Inserted central venous catheter (PICC) is one of the most common venous pathways

  • After analyzing the puncture situation of the two groups, it was found that the average catheterization time of the observation group was shorter than that of the control group, and the difference was statistically significant

  • ECG positioning has the advantages of no radiation, no injury and low cost, and this technology can accurately locate the catheter tip position in real time, and has been widely used [11]

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Summary

Introduction

Inserted central venous catheter (PICC) is one of the most common venous pathways. Xiao Eur J Med Res (2021) 26:99 is difficult to achieve one-off success. To realize ECG positioning technology, professional instruments or media products such as guidewire, ECG wire, ECG connector and so on are needed [4]. These are all external connectors, which may lead to pollution of the operating area on the one hand. To improve the accuracy and success rate of puncture, the author designed a new medical guide wire assembly integrating catheter, guide wire and electrode for guiding puncture, which has achieved good efficacy, as reported below

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