Cause analysis and nursing countermeasure of misdiagnosis of PICC catheter internal carotid vein in 32 cases

  • Yuwei Wang Department of General Surgery, 309th Hospital of PLA, Beijing
  • Xiao Hu Department of General Surgery, 309th Hospital of PLA, Beijing
Keywords: PICC; ectopic catheterization of internal jugular vein; missed diagnosis; nursing care

Abstract

Objective: To analyze the causes of missed diagnosis and improve nursing countermeasures in patients with PICC catheterization of internal
jugular vein. Methods: We conducted a retrospective study of 32 patients who weren’t diagnosed ectopic catheterizations of internal jugular
vein until they had X-ray examinations after ultrasound guided PICC catheterization. We analyzed the reasons of missed diagnosis to provide
a certain guidance for clinical practices. Results: The missed diagnosis of ectopic catheterizations of internal jugular vein were caused by
small exploratory area of internal jugular vein, improper usage of ultrasonic probe, operation step missing, variations of veins and so on. The
first two reasons are the main factors. Conclusion: In order to reduce the occurrence of missed diagnosis of ectopic PICC catheterizations of
internal jugular vein, the operators should expand the exploratory area of internal jugular vein, use the ultrasonic probe correctly, improve the
operation level, follow the operation procedure strictly and evaluate patients’ preoperative situations carefully. If all the measures above are
taken, we can assuredly reduce the rate of missed diagnosis of ectopic PICC catheterizations of internal jugular vein.

Published
2018-03-19
How to Cite
Wang, Y., & Hu, X. (2018, March 19). Cause analysis and nursing countermeasure of misdiagnosis of PICC catheter internal carotid vein in 32 cases. Journal of Clinical and Experimental Medicine, 2(1), 11. https://doi.org/https://doi.org/10.29422/jocem.2018.01.003
Section
Clinical and Experimental Medicine