Peripherally inserted central catheters (PICC) in patients with mediastinal tumor under upper limb

摘要

Objective:To analyse the various surgery programs on patients with mediastinal tumor who accept PICC catheter under upper limb, and disscussing the methods of nursing care.Methods:A total of 10 cases, including the surgery programs, postoperative nursing and complications prevention, were retrospectively analyzed that patients with mediastinum tumor accept PICC catheter in upper limbs.Results: 10 cases of PICC catheter, including 4 cases of left upper limb and 6 cases of right upper limb with PICC, were completed successfully with complete preoperative assessment, preoperative discussion and preparation, closely monitoring patients during operation, good doctor-nurse cooperation, and seasoned operators. After careful nursing, all patients have completed chemotherapy successfully, whose tube indwelling time from 3 to 12 months,without unscheduled extubation.Conclution: Patients with mediastinum tumor should be comprehensively assessed by colour-Doppler ultrasound in upper limbs and the chest CT, which helping to check the size and compression degree of tumors, in addition to the regular preoperative evaluation of PICC. The PICC operations in upper limbs should be made by seasoned operators as well as good doctor-nurse cooperation, closely monitoring patients during operation and careful postoperative nursing.