Rescue of a patient with a 50 cm broken PICC tube retracted and wrapped in pulmonary artery: a case

来源 :护理前沿(英文版) | 被引量 : 0次 | 上传用户:bao21987
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: With the increasing use of a peripherally inserted central catheter (PICC) in clinical application, the breaking of the PICC is increasing as well, which would turn into the emboli and drift to the heart and pulmonary artery, causing severe consequences.However, few cases have been reported on the rescue of patients with a broken PICC.Patient concerns: A 33-year-old man, diagnosed with chronic hepatitis B-related decompensated cirrhosis and cryptococcal meningitis, was treated with amphotericin B combined with flucytosine and fluconazole by means of PICC catheterization. The patient was discharged with a catheter; when he returned for re-examination, a 50cm length of PICC broke and slipped into the vein after his sudden dysphoria. First aid was immediately administered, and then the intervention therapy to extricate the tube, including pulmonary artery angiography and intravascular removal of foreign matter, was performed based on the consensus of the in-hospital vein treatment group. At last, the broken PICC fragment was successfully taken out of the vessel. Re-examination after surgery showed that he recovered well.Conclusions: Once the catheter is broken, the X-ray examination should be performed at the first instance and re-examined frequently.Moreover, the involvement of a multidisciplinary team should be formed to decide the appropriate method of treatment to ensure a successful rescue.
其他文献
目的 探讨肺部超声对神经外科术后患者肺不张诊断和治疗中的应用价值.方法 回顾性选取该院2019年4月—2020年6月收治的90例神经外科手术后发生肺不张患者进行研究.所有患者均接受肺部超声和胸部CT检查,收集患者胸部CT和肺部超声结果,以胸部CT检查结果为金标准,分析肺部超声在诊断肺不张时的效能、肺通气评分以及耗时.结果 胸部CT的诊断结果显示,90例患者中肺不张病区有162个,完全性肺不张有57个(35.18%),不完全性肺不张为105个(64.82%);肺部超声在诊断肺不张中的敏感度、特异度、准确率分
Objective: To ensure that only competent graduates are licensed to practice nursing, councils conduct licensing examinations, which may include among others clinical competency assessment. This review explored current practices in clinical competency asse
Objective: To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and lone
Objective: In today\'s world with sweeping changes, nurses are responsible for providing high-quality and cost-benefit care, which would almost be impossible unless they achieve their high professional status. To date, no precise and comprehensive defin
Objective: To identify the research on “hot spots” and frontiers of self-management in patients with breast cancer.Methods: We searched the Web of Science database for articles associated with keywords, and used CiteSpaceⅢ to analyze the data.Results: A t
Objectives: The nursing profession is considered to be at a high risk of workplace stress, workload, and burnout due to the high job demands. The nurses require the appropriate and prompt coping mechanisms to relieve the effects of stress. The nurses have
Objective: Maintaining blood pressure (BP) could improve the quality of life among farmers in agricultural health. The study aims to evaluate the effects of progressive muscular relaxation and stretching exercises (SEs) for BP in farmer subjects in rural
Objectives: Depressive symptoms are common in heart failure (HF) patients and they may exacerbate the progression of HF. Thus,identifying associations with depressive symptoms is essential to develop effective interventions to alleviate patients\' depre
Objectives: To explore the level of active aging and correlates among rural elderly in Xiangtan County, China.Methods: A cross-sectional survey was conducted from July to November 2019. A total of 945 rural elderly from 3 towns in Xiangtan County, China,
Objective: The quality of professional life has attracted the attention of many managers owing to its importance, and organizational commitment differs according to work conditions in an organization. As the largest professional group in the healthcare sy