Effects of improved intubation in preventing accidental PICC intubation into internal jugular vein / 现代临床护理

ABSTRACT

Objective To explore the effects of improved intubation in preventing accidental PICC intubation into internal jugular vein. Methods 180 patients with PICC were randomly divided into two groups:control and trial group.In the control group, the routine intubation with head sided was performed,and in the trial group,the intubation was done with gauze of different size accord-ing to the space between the neck and shoulder pressed downward and inward at the spot of internal jugular vein to the bottom and meanwhile having the patient turn the head aside and press the gauze with their draw when the tube head was inserted 15 cm deep.The two groups were compared in terms of the rate of PICC intubation into internal jugular vein.Result The incidence of catheterization by accident into the internal jugular veinin the trial group was significantly lower than that of the control group (P＜0.05). Conclusion The intubation with gauze pressed at the internal jugular vein can obviously reduce the incidence of catheterization by accident into the internal jugular vein.This method is worthy of clinical popularization and application.