Ultrasound-Guided Central Venous Catheters in Elderly Patients with Cardiopulmonary Resuscitation

Abstract

Objective: The elderly patients with cardiopulmonary resuscitation in intensive care unit (ICU), usually need timely and effective central vein catheterization to ensure the effective treatment. The aim of this study was to investigate the effect and safety of ultrasound-guided peripherally inserted central venous catheters (PICC) in elderly patients with cardiopulmonary resuscitation in ICU. Method: A total of 80 elderly patients with cardiopulmonary resuscitation from September 2016 to December 2019 were selected in Lu'An Hospital of Traditional Chinese Medicine. They were randomly divided into ultrasound group (40 cases) and conventional group (40 cases). The patients in conventional group were treated with conventional PICC, while the patients in ultrasound group were treated with ultrasound-guided PICC. The surgery, puncture success rate and complications were compared between ultrasound group and conventional group. Result: Ultrasound intervention showed the location of vessel at the puncture site and the whole process of catheter entry. Compared with the conventional group, the operation time, puncture time and intraoperative blood loss in ultrasound group was significantly less (P < 0.05). The success rate of once puncture in the ultrasound group was higher than that in conventional group (93% vs. 70%, P< 0.05). Compared with conventional group, the incidence of complications in ultrasound group was significantly lower than (P < 0.05). Conclusion: Compared with conventional PICC, ultrasound-guided PICC can provide better effect and reduce the incidence of complications for the elderly patients with cardiopulmonary resuscitation in ICU.