Nursing of recurrent malposition of peripherally inserted central catheters in a patient with thoracic outlet syndrome and related nursing measures (1例胸廓出口综合征患者经外周静脉置入中心静脉导管置管反复原发性异位的护理)

• Published in: 中西医结合护理 Vol. 8; no. 11; pp. 222 - 225
• Main Authors: ZHANG Liuyan (张柳燕), HUANG Guohua (黄果花), LI Xiufeng (李秋凤)
• Format: Journal Article
• Language: Chinese
• Published: Journal of International Translational Medicine Limited 01.11.2022
• Subjects: digital subtraction angiography; peripherally inserted central catheters; primary malposition; thoracic outlet syndrome; 原发性异位; 数字减影血管造影; 经外周静脉置入中心静脉导管; 胸廓出口综合征
• ISSN: 2709-1961
• DOI: 10.55111/j.issn2709-1961.202208088

This paper summarized the potential causes and nursing measures of recurrent malposition of peripherally inserted central catheters (PICC) in a patient with thoracic outlet syndrome and related nursing measures. Thoracic outlet syndrome is a relatively rare peripheral neurovascular entrapment disease, also known as brachial plexus neurovascular compression in China, and there are very few clinical cases of primary malposition and difficulty in feeding indwelling PICC catheters in such patients. Through the case studies, it is believed that pre-catheterization history assessment, catheterization history, laboratory and imaging tests are the first priority, and post-ectopic management, complication prevention, psychological care, and health education are the key. This patient failed to pass the bedside catheter placement, and the Interventional Vascular Department was asked to mediate tube under the digital subtraction angiography (DSA). There were no complication such as thrombosis and infection after the cath