Application of electrocardiogram monitoring in PICC catheterization
LI Yi1 LONG Xiao-bin2
1. Department of General Surgery, Ji′an Central People′s Hospital, Jiangxi Province, Ji′an 343000, China;
2. Department of Oncology, Ji′an Central People′s Hospital, Jiangxi Province, Ji′an 343000, China
Abstract：Objective To explore the application of electrocardiogram (ECG) positioning during ECG monitoring in peripherally inserted central catheter (PICC) catheterization. Methods A total of 100 patients who underwent PICC catheterization in our hospital from March to December 2016 were selected as objects. They were divided into control group (50 cases) and observation group (50 cases) according to the random number table method. The control group used B-ultrasound guided conventional tube placement and external X-ray positioning, and the observation group used B-ultrasound to locate the puncture point and blood vessel, and connect to the ECG monitor. The PICC catheterization effect (one-time catheterization success rate, catheter tip position accuracy rate) and complications (phlebitis, thrombosis) during catheterization were compared between the two groups. Results The success rate of one-time catheterization and the accuracy rate of catheter tip position in the observation group were higher than those of the control group, the differences were statistically significant (P＜0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion ECG positioning in ECG monitoring has a high application value in PICC catheterization, which can increase the success rate of one-time catheterization and the accuracy rate of catheter tip position, and reduce the occurrence of phlebitis and thrombosis.
Hnatkova K，Malik M.Sources of QTc variability：Implications for effective ECG monitoring in clinical practice[J].Ann Noninvasive Electrocardiol，2019，11（24）：e12730.
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