One case of PICC decannulation difficult processing experience due to lower limb vein organic compound formation in preterm neonate / 中国实用护理杂志

Objective@#To analyze the decannulation difficult reason and the application of multidisciplinary cooperation of 1 case of premature neonate with leg vein organic compound formation.@*Methods@#Through the PICC decannulation difficult reason analysis and processing, drawing tube under multidisciplinary cooperation comprehensive intervention.@*Results@#Children managed to root out PICC under digital subtraction angiography (DSA), but organic compound in the popliteal vein remained. No organic compound falling off and blood clots occurrd after 6-month follow-up.@*Conclusion@#For neonatal PICC decannulation difficult, we can give appropriate postures, wet hot compress, local massage method, as well as ultrasound for confirmation of presence of thrombus when necessary, such as machine compound and fibrin sheath formation. Application of multidisciplinary cooperation can improve the success rate of minimally invasive decannulation. According to the cause of decannulation difficult and take effective preventive measures is the key point of PICC catheter nursing.

One case of PICC decannulation difficult processing experience due to lower limb vein organic compound formation in preterm neonate / 中国实用护理杂志

Objective To analyze the decannulation difficult reason and the application of multidisciplinary cooperation of 1 case of premature neonate with leg vein organic compound formation. Methods Through the PICC decannulation difficult reason analysis and processing, drawing tube under multidisciplinary cooperation comprehensive intervention. Results Children managed to root out PICC under digital subtraction angiography (DSA), but organic compound in the popliteal vein remained. No organic compound falling off and blood clots occurrd after 6-month follow-up. Conclusion For neonatal PICC decannulation difficult, we can give appropriate postures, wet hot compress, local massage method, as well as ultrasound for confirmation of presence of thrombus when necessary, such as machine compound and fibrin sheath formation. Application of multidisciplinary cooperation can improve the success rate of minimally invasive decannulation. According to the cause of decannulation difficult and take effective preventive measures is the key point of PICC catheter nursing.

The progress in clinical management of difficult decannulation after ureteral stent retention / 医学研究生学报

The long-term retention of ureteral stent (double J tube) leads to the displacement and fracture of double J tube, and the formation of peritube stones, which are the main causes of the difficult decannulation through conventional cystoscopy. Its clinical treatment is more complex, involving different minimally invasive endoscopic techniques, and even by traditional open surgery. In recent years, more and more reports on the difficulty of removing double J tubes after retention. Among them, the multi-mirror combined operation method has been recommended, and the KUB scoring system based on imaging examination contributes to evaluate the difficulty of operation and prognosis of patients before operation. This article reviews the diagnosis of double J tube retention, the causes of difficult decannulation, preoperative preparation and progress of surgical management.