A Comparison of Lower Limb Peripherally Inserted Central Catheter and Deep Venous Catheterisation.

OBJECTIVE: To compare the clinical application effects of peripherally inserted central catheter (PICC) and deep venous catheters placed through the lower limbs in adults with malignancy obviating the use of upper limb PICC. STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Department of Oncology, Beijing Shijingshan Hospital, Capital Medical University, Beijing, China between February 2017 and February 2019. METHODOLOGY: The patients enrolled in this study were assigned to PICC under ultrasound guidance group and deep venous catheterisation group. The inclusion criteria were patients with advanced malignant tumor after bilateral breast cancer lymphadenectomy or superior vena cava obstruction syndrome; bedridden patients; and patients without mental disorders; who could understand the content of this study and agreed to participate in this study. Patients with high-risk thrombosis and venous thrombosis of lower limbs were excluded. The success rate of one-time catheterisation, the length of catheterisation puncture time, the number of catheterisations, and the occurrence of catheter-related complications of the two groups were compared. RESULTS: Ultrasound-guided PICC through the lower limbs had a higher success rate than deep venous catheterization (84.6% vs. 42.9%, p=0.046). The average length of puncture time in adults with PICC through the lower limbs under ultrasound guidance was shorter than that in the femoral vein group (24.69 ± 4.35 vs. 29.14 ± 6.02, p=0.038). No catheter-related infection was found in the two groups of patients. CONCLUSION: The indications for PICC through the lower limbs in adults include patients with advanced malignant tumor after bilateral breast cancer lymphadenectomy or superior vena cava obstruction syndrome, and mainly bedridden patients. This technique has certain advantages over deep venous catheterisation and is an effective choice for venous access. Key Words: Lower limb PICC, Deep venous catheterisation, Advanced malignant tumor, Bedridden.

Palladium Promoted Production of Higher Amines from a Lower Amine Feedstock.

ABSTRACT: The catalytic (Pd/Al2O3 and Pd/C; mean Pd size 2.5-3.0 nm from (S)TEM analysis) synthesis of di-butylamine (DBA) and tri-butylamine (TBA) from mono-butylamine (MBA) and DBA, respectively, in continuous gas phase operation is demonstrated. Exclusive production of DBA (from MBA) has been established over both catalysts where 453 ≤ T ≤ 523 K (∆Ea = 79 kJ mol-1). Greater activity for Pd/C is associated with higher levels of surface acidity (from NH3 chemisorption/TPD) and spillover hydrogen (from H2 TPD). Reaction of DBA over both catalysts when configured in series delivered full selectivity to TBA. Our results establish a novel clean alternative route for the continuous production of higher (secondary and tertiary) amines.

Polyethylene glycol-stabilized platinum nanoparticles: the efficient and recyclable catalysts for selective hydrogenation of o-chloronitrobenzene to o-chloroaniline.

In the present work, platinum nanoparticles were prepared by in situ reduction with polyethylene glycols (PEGs). The catalytic performance of Pt nanoparticles immobilized in PEGs (Pt-PEGs) is discussed for the hydrogenation of o-chloronitrobenzene (o-CNB). A high selectivity to o-chloroaniline (o-CAN) of about 99.7% was obtained with the Pt-PEGs catalysts at the complete conversion of o-CNB, which is much higher than that (83.4%) obtained over the conventional catalyst of Pt/C. The Pt nanoparticles could be immobilized in PEGs stably and recycled for four times with the same activity and selectivity. It presents a promising performance in the hydrogenation and its wide application in catalytic reactions is expected.