Clinical Application of PICC under the Guidance of the Modified Seldinger Technique

Objective To investigate clinical effect of PICC under guidance of the modified seldinger technique.Methods From Apr to Aug in 2010,7 patients were selected,they were considered by PICC core group of nurses in our hospital that traditional PICC placement could not be applied to them,2 cases failed to PICC insertion by traditional methods with the formation of local hematoma,2 cases with poor conditions of obesity or congenital venous,3 cases with long-term therapy and repeated puncture caused by poor flexibility in the elbow vein.It was difficult to identify by visual and tactile the depth and direction of the vein,and the central venous catheter(CVC) can not met the treatment needs.PICC insertion tube was used under guidance of the modified seldinger technique.Results 7 patients were all successful at one time,the success rate was 100%,and 6 cases were inserted from the basilic vein,1 case from the median vein.The film showed that all catheter's headends were in the superior vena cava,operations were safe,infusion was smooth,no complications occurred during the catheters indwelling.Conclusion Under guidance of the modified seldinger technique,the success rate of PICC was improved,the indications for PICC were expanded,this technology can effectively solve the problems can not be settled by the traditional way of PICC,it can enhance the quality of care and reduce patients' suffering,and avoid waste of resources.