Operation Techniques of PICC Catheterization in Special Positions

Abstract

Background: Peripherally inserted central venous catheter (PICC) is a reliable and safe method of central venous catheterization. Objectives: This study aimed to investigate the operation techniques of PICC catheterization in special positions. Methods: From January 2015 to August 2020, 52 cases in special positions were successfully catheterized and divided into four types. The characteristics of body positions, the principle of position placement and sterile sheet laying, the position of the operator, the evaluation before the catheterization, the preparation of related equipment for the catheterization, and the technical points of the catheterization operation were analyzed among these four types. Results: By adopting different techniques (patient position placement, disinfection, sterile sheet laying, operator location, and operation key points) according to different patient positions, PICC catheters were successfully inserted in 52 patients. Conclusion: When PICC catheterization objects cannot be placed in conventional positions, an individualized analysis should be carried out. According to the characteristics of their positions, special evaluation, position placement, disinfection and draping, and the preparation of special equipment to assist individualized catheterization operations should be carried out.