دورية أكاديمية
Enhancing tube feeding method for neurosurgery: the application of improved PICC technique.
| العنوان: | Enhancing tube feeding method for neurosurgery: the application of improved PICC technique. |
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| المؤلفون: | Wu H; Department of Neurosurgery, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China. wuhuiwen@mail.sysu.edu.cn., Qiu Y; Department of Nursing, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China., Wang Y; Department of Surgery, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China., Li J; Department of Neurosurgery, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China., Qiu Y; Department of Nursing, Sun Yat-Sen University Sun Yat-Sen Memorial Hospital, Guangzhou, China. qiuyh@mail.sysu.edu.cn. |
| المصدر: | European journal of medical research [Eur J Med Res] 2024 Feb 17; Vol. 29 (1), pp. 130. Date of Electronic Publication: 2024 Feb 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 9517857 Publication Model: Electronic Cited Medium: Internet ISSN: 2047-783X (Electronic) Linking ISSN: 09492321 NLM ISO Abbreviation: Eur J Med Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Jan. 2012- : London : BioMed Central Original Publication: Munich, Germany : I. Holzapfel, c1995- |
| مواضيع طبية MeSH: | Catheterization, Central Venous*/adverse effects , Catheterization, Central Venous*/methods , Central Venous Catheters*/adverse effects , Neurosurgery*, Humans ; Retrospective Studies ; Feeding Methods ; Electrocardiography/methods |
| مستخلص: | Background and Purpose: Peripherally inserted central catheter (PICC) used in neurosurgical patients requires changes in patients' head positions. However, such changes can worsen pressure on the brain tissue, lead to sudden acute brain herniation and respiratory arrest, resulting in a higher chance of patient death. This paper addresses the aforementioned problems by introducing a new PICC catheterization method. Method: In a retrospective study, the records of patients with PICC from April 2020 to April 2023 were reviewed, and they were divided into three groups based on the methods employed. The first group as the conventional group, involved changing patients' body positions during catheterization. The second group, as the intracavitary electrocardiographic (IECG) group, utilized intracavitary electrocardiographic monitoring and involved changing patients' body positions during catheterization. The third group as the intracavitary electrocardiographic with improved body positioning (IECG-IBP) group, catheterization was performed with guidance from intracavitary electrocardiographs and without changing the patients' body positions. The ECG changes among patients undergoing different catheter delivery methods were then compared, as well as the rate of catheter tip misplacement. Result: The study encompassed a total of 354 cases. Our findings reveal distinct P wave amplitude percentages among the groups: 0% in the conventional group, 88.46% in the IECG group, and 91.78% in the IECG-IBP group. Furthermore, the following catheter tip misplacement rates were recorded: 11.54% for the conventional group, 5.39% for the IECG group, and 5.47% for the IECG-IBP group. Significantly notable differences were observed in these two key indicators between the conventional group and the IECG-IBP group. Notably, the IECG-IBP group demonstrated a more favorable outcome compared to the IECG group. Conclusion: In patients with neurosurgical diseases, especially those with tracheostomy and nuchal stiffness, the IECG-IBP PICC catheter insertion method can effectively reduce the patient's neck resistance, does not increase the patient's headache and dizziness symptoms, and does not reduce the success of one-time catheterization. Rate and does not increase the incidence of jugular venous ectopia. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Catheter tip misplacement rate; Catheterization; Intracavitary ECG; P wave amplitude change; PICC |
| تواريخ الأحداث: | Date Created: 20240217 Date Completed: 20240219 Latest Revision: 20240220 |
| رمز التحديث: | 20240220 |
| مُعرف محوري في PubMed: | PMC10873980 |
| DOI: | 10.1186/s40001-024-01729-3 |
| PMID: | 38368367 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 2047-783X |
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| DOI: | 10.1186/s40001-024-01729-3 |