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Parenteral nutrition can be delivered by peripheral venous catheterization (PVC) and central venous catheterization (CVC).While PVC is the first choice for parenteral nutrition in most cases,CVC represents a better option in the case of high osmotic pressure (＞900 Osm/L) or prolonged nutritional support (＞ 14 days).Percutaneous central venous catheterization through subclavian vein is advisable for critical patients,but its indwelling time should be kept under 30 days.Peripherally inserted central catheterization,with low risk of lesion and infectious complications,is recommended by Chinese guidelines for elderly patients.Implanted port provides reliable rout for patients who need long-term intravenous treatment,including parenteral nutrition.Patients with such device enjoy more freedom in daily life and better quality of life.When choosing intravenous infusion route,we need to take into consideration the patient's condition,desire and treatment time.Standardized application of catheterization is key to the safety of its use.
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Objective To study and analyze the effects of two different routes of intravenous administration on mannitol induced phlebitis. Methods 98 patients who received mannitol infusion in the first people's hospital in Wenling from December 2013 to December 2016 were selected as the study objects. The patients were divided into PICC group and peripheral group according to different intravenous administration modes. In group PICC, 49 cases were given intravenous administration by PICC. In peripheral group, 49 cases were received peripheral vein indwelling needle. The incidence of phlebitis in the two groups was compared. Results The data showed that the incidence of phlebitis in group PICC was 8.16%, and the incidence of phlebitis in peripheral group was 22.45%. The difference between the two groups was statistically significant (P<0.05). Conclusion Mannitol infusion by PICC can reduce the incidence of phlebitis.
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Objective To explore the feasibility of high concentration potassium cbloride infusion by micro pump through peripheral vein together with fluid infusion.Methods 160 patients were divided into the observation group A and B (each with 40 patients) and the control group(80 patients).For the control group,only high concentration potassium chloride was infused by micro pump through peripheral vein,high concentration potassium chloride pumped through peripheral vein together with 5％ sodium chloride and dextrose injection were adopted in the observation group A.High concentration potassium chloride pumped through peripheral vein together with medication liquid were adopted in the observation group B.The rate of pain and phlebitis in three groups were observed.Results The rate of pain and phlebitis decreased significantly in the observation groups compared with those of the control group.There was no significant difference in the rate of phlebitis between the observation group A and B.Conclusions High concentration potassium chloride infusion by micro pump through peripheral vein together with fluid infusion are more effective to alleviate pain,reduce the rate of phlebitis,and can change the kind and drip rate of the fluid based on the condition of the patients.
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0.05).Medium time of keeping catheter in the first graup were 91 days and the second 5 days(P
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OBJECTIVE:To investigate the safety and efficacy of alanyl-glutamine dipeptide administered via peripheral vein total parenteral nutrition(TPN)in patients after gastrointestinal operation.METHODS:64cases after gastrointestinal operations were randomly divided into routine TPN group(control group)and TPN plus alanyl-glutamine dipeptide group(therapeautic group),all of which were treated with the corresponding medicines from the first day to the7th day after oper?ation.RESULTS:The levels of both seralbumin and prealbumin rebounded on the8th day after operation with those of the control group rebound more slowly,significant differences were noted between the2groups(P
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Objective To discuss the clinical effect of two different routes of thrombolysis for the treatment of acute deep vein thrombosis (DVT).Methods A total of 126 patients with DVT during December 2005 to March 2010 were randomly divided into two groups:(1)transcatheter popliteal vein thrombolysis method (group A);(2)thrombolysis therapy via peripheral vein (group B).The venous patency score and patency improvement were observed by venograms or Duplux.Results After treatment,the reduction rate of edema of leg (0.82?0.14)% and of thigh(0.89?0.07)%,and the venous patency improvement rate (55.41?3.21)% in group A were significantly higer than those in thrombol group B(0.63?0.11)%,(0.57?0.09)%and (32.34?3.77)%,respectively (all P
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Objectives:To investigate the effects of nutritional support by the way of peripheral vein(PV) in the patients of severe acute pancreatitis(SAP). Methods:The treatment results of nutritional support by the way of PV was observed retrospectively within the latest eight years in the patients of SAP. Results:31 cases were cared,and no complications relating to the use of PV in TPN happened. Conclusions:Nutritional support is an important and effective treatment in SAP patients,and the use of PV is an effective and safety route.