Efficacy of PICC and Subclavian Vein Catheter in Coma Patients with Brain Injury

Objective To discuss the therapy efficacy of peripherally inserted central catheter( PICC) and subclavian vein catheter in coma patients with brain injury. Methods A retrospective analysis of the clinical data of coma patients with brain injury,in which 79 cases with PICC and 63 cases with subclavian vein catheter. The disposable catheter success rate and the incidence of catheter- related complications were compared in the two groups. Results A disposable catheter success rate of 94. 9%( 75 /79) in the PICC group,and 74. 5%( 47 /63) in the subclavian vein catheter group,the difference was statistically significant( P 0. 05). The incidence of mechanical phlebitis and catheter blockage in the PICC group were more than the subclavian vein catheter group( P 0. 05),and the incident of catheter off and unplanned catheter removal were less( P 0. 05). The incidence of catheter malposition,catheter related infections in these two groups was no statistically significant( P 0. 05). Conclusions The PICC and subclavian vein catheter used in the coma patients with brain injury has the advantages of simple,convenient nursing,long indwelling time. By comparison,the PICC has mire has more advantages.