Treatment of children with subgaleal hematoma by venous indwelling needle aspiration and continuous negative pressure drainage
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Objective To investigate the treatment of children with subgaleal hematoma by venous indwelling needle aspiration combined with continuous negative pressure drainage.Methods Forty-five children with subgaleal hematoma were divided into two groups: 24 patients(group A) underwent puncture aspiration by venous indwelling needle combined with continuous negative pressure drainage,21 patients(group B) underwent puncture aspiration by syringe combined with pressure bandaging.The times of puncture,healing time and complications were recorded and analyzed.ResultsThe puncture times of group A were significant less than those of group B(P＜0.05).The healing time of group A(2.63±0.97 days) was significant shorter than that of group B(8.10±1.87 days).There were 4 cases of group B had rehaemorrhagia,no hematoma residual cavity infection happened in both groups.Conclusions It is an effective method to treat massive subgaleal hematoma by venous indwelling needle aspiration and continuous negative pressure drainage.
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Hematoma; DrainageOBJECTIVE To explore the application and clinical observation of central venous catheter(CVC) in patients with pleuraleffusion. METHOD A total of 94 patients with pleural effusion were randomly divided into control group treated with traditionalclosed thoracic drainage and observation group with CVC indwelling closed thoracic drainage, 47 cases for each group. Clinical effica-cy and adverse responses in both groups were observed. RESULT The total response rate was 91.5% in observation group, which wasapparently higher than the 76.6% in control group(P0.01). Observation group was evidently higher in daily drainage volume, butobviously lower in drainage duration, hospital stayed as well as rates of complications and pain than control group(P0.01). CONCLUSION CVC indwelling closed thoracic drainage had better clinical efficacy than the traditional one with fewer adverse responsesand higher safety, which deserves to be widely applied in clinic al preutice.
Central venous catheter
Indwelling catheter
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Objective To discuss the experience of drill catheter drainage treatment of epidural hematoma.Methods 20 cases of epidural hematoma patient who obtained diagnosis with CT were drilled to hematoma cavity under local anesthesia and 14 F silicon catheter was fixed and injected urokinase and drainage.Results There were 12 cases in total hematoma clearance after 12 h,7 cases in total hematoma clearance after 48 h and 1 case relapse and hematoma discarded.The successful rate was 100%.Conclusion This method might be performed easily with accuracy effect.
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Objective To observe the clinical effects of draining with indwelling central venous catheter by skin in patients with pneumothorax.Methods 28 patients with medium or large amounts of pneumothorax who had a definite diagnosis by that bosom X line sum/or bosom surpasses sound were randomly divided into treated group(n=11) and control group(n=17) in our hospital from January 2004 to June 2007.The control group was given conventional drug treatment and the traditional simple thoracic cavity puncture pumping fluids(three times every week).Based on conventional drug treatment,in the treated group,the central venous catheterization was put into thoracic cavity to drain the pneumothorax,after 24 hours,draining again and again until the pneumothorax was exhausted,and then pulling out the central venous catheter.The comparisons were made on the treatment effects,its complications and the medical expenses.Results The average time of pneumothorax absorption: the treated group was(3.24±1.76) days;but the control group was(10.14±2.72) days;the pleural reaction(1.40% vs 9.81%);the hydrothorax wrap incidence(0% vs 15.89%);the pneumothorax incidence(0% vs 11.76) and the average hospitalization total costs(1291.52±716.59 Yuan vs 1736.49±1211.43 Yuan).There were significant differences between the two groups(P0.05).Conclusion Draining with the indwelling central venous catheter in patients with pneumothorax has the advantages of easy use and safe operation,reducing hospitalization time and cost,with better treatment effects.It deserves to be used wider in clinical practice.
Central venous catheter
Thoracic cavity
Pleural cavity
Hydrothorax
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Objective To analyze and summarize the common risks of venous indwelling needle,and to develop the targeted nursing strategies.Methods Clinical data of 154 patients who were given indwelling needle for venous infusion were retrospectively analyzed.Indwelling time,puncture site,liquid nature,sealing-induced phlebitis,fluid leakage and indwelling needle catheter blockage were observed and recorded.Results The incidence of phlebitis in patients with indwelling time more than 6 days was significantly higher than that in patients with indwelling time less than or equal to 6 days(P0.05)The incidence of phlebitis in patients who underwent puncture at wrist,elbow and ankle was significantly higher than that in patients who underwent puncture at neck,forearm and other puncture sites(P0.05).The incidence of isotonic fluid infusion-related phlebitis was significantly lower than that of hypertonic fluid infusion-related phlebitis(P0.05).The incidence of liquid leakage at wrist,elbow and ankle was significantly higher than that at hand back,forearm and neck(P0.05).The incidence of indwelling needle catheter blockage induced by positive pressure sealing was significantly lower than that induced by negative pressure sealing(30.56% vs 58.70%,P0.05).Conclusion The correct choice of puncture site,skilled use of puncture technique,rational application of sealing method and appropriate health education can minimize the occurrence of common adverse effects during infusion process and promote the clinical application of venous indwelling needle.
Indwelling catheter
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Background: The aim of the study was to evaluate the clinical presentation, and to investigate the effectiveness of continuous catheter drainage in comparison to needle aspiration in the treatment of liver abscesses. Methods: This is a comparative study of 121 patients, presented in outpatient and emergency department at the hospital, randomized double blind trial was done and divide into two groups (percutaneous needle aspiration and pigtail catheter drainage.) about which surgeon did not knew about the division it was marked by evaluator. The effectiveness of either treatment was measured in terms of duration of hospital stay, days to achieve clinical improvement, reduction in abscess cavity size and total/near total resolution of abscess cavity. Results: The success rate was significantly better in catheter drainage group. The patients in pigtail catheter drainage group showed earlier clinical improvement and decrease in abscess cavity volume as compared to those who underwent percutaneous needle aspiration. Conclusions: Percutaneous catheter drainage is a better modality as compared to percutaneous needle aspiration especially in larger abscesses which are partially liquefied or with thick pus.
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Objective We attempt to compare the effects of venous indwelling needle and the traditional scalp acupuncture in pediatric transfusion,and to explore the appropriate puncture site of venous indwelling needle. Methods 964 patients were randomly divided into experimental group and control group,patients in experimental group was treated with venous indwelling needle infusion while patients in control group were given traditional scalp acupuncture transfusion,then we surveyed the satisfaction rate of children's parents,success rate of the first puncture and adverse reactions,aimed to compare the effects of the two groups,and compared effect between head group and the hand- foot group within experimental group. Results Satisfaction rate of experimental group was higher than that of control group( P 0. 05). Successful rate of the first puncture of experimental group was higher than that of control group,however,the proportion of leakage,off pipe,pipe plugging and phlebitis were lower than control group( all P 0. 05). In experimental group,successful rate of the first puncture on hand- foot group was higher than the head group,meanwhile,the proportion of leakage and off pipe were lower than the head group( all P 0. 05). Conclusions Compared with the traditional scalp acupuncture transfusion in pediatric nursing,venous indwelling needle can reduce the number of puncture and theoccurrence of leakage,off pipe,pipe plugging and phlebitis,the priority site of puncture should be hand and foot.
Foot (prosody)
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Objective
To investigate the problems and solutions of puncture site bleeding and swelling after BD pediatric venous indwelling needle intravenous indwelling.
Methods
200 children in department of pediatrics of our hospital from January 2017 to October 2017 were randomly divided into control group and observation group. The observation group received venous indwelling needle with sterile 3M transparent dressing fixed and then 3M paper tape covered, centered on the puncture site; the control group received venous indwelling needle with sterile 3M transparent dressing fixed only, centered on the puncture site. The puncture site bleeding and swelling, indwelling time of venous indwelling needle of the two groups were observed.
Results
Compared with the control group, the incidences of puncture site bleeding and swelling of the observation group were significantly lower, the indwelling time of venous indwelling needle was longer, with statistically significant differences between the two groups (P<0.05).
Conclusion
The application of venous indwelling needle with sterile 3M transparent dressing fixed and then 3M paper tape covered, centered on the puncture site can reduce the incidences of puncture site bleeding and swelling, prolong the indwelling time, reduce the children's pain, and improve family satisfaction.
Key words:
Pediatric venous indwelling needle; Fixation method; 3M transparent dressing
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Objective To compare the effect of ultrasound-guided peripherally inserted central catheter and ordinary puncture,and to explore an option of low risk,less pain for patients and higher nursing quality.Methods 167 patients who had undergone chemotherapy by PICC before or after breast cancer surgery in our hospital from Oct.2008 to Sep.2009 were retrospectively selected and divided into two groups:experimental group (ultrasound-guided PICC group,58 cases) and control group (routine puncture group,109 cases).Complications of the puncture site,armpit reversal,times of puncture,incidence of venous thrombosis,operation time of puncture and dressing change were compared between the two groups.Results Significant differences were found of complications of the puncture site,times of puncture,operation time of puncture and dressing change (P＜0.01),as well as incidence of infection (P＜0.05).There was no significant difference of armpit reversal between the two groups (P ＞ 0.05).Neither mechanical phlebitis nor venous thrombosis was reported.Conclusions Ultrasound-guided PICC is superior to routine puncture.
Key words:
Peripherally inserted central catheter; Type-B ultrasound; Complication; Infection; Operation time
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Objective:To investigate the optimal indwelling method of intravenous indwelling needle and its application effects in NICU.Methods:168 prematures were divided into group A,B and C.All prematures in these 3 groups were nakedly slept in warm-boxes.During observation,the same type of indwelling needle was used with sterilized plaster for fixing and normal saline for sealing tube.The group A,B and C adopted subaxillary vein,scalp vein and limb veins for puncture site respectively.The comparative observations were conducted including the time of keeping indwelling needle,local red and swollen,necrosis of skin,errhysis and exudation,tube detachment,tube plugging and success rate of puncture.Results:The group A could keep indwelling needle for longer time than the group B and C with statistical difference(P0.05),while no statistical difference was found in comparison between the group B and C(P0.05).Conclusion:Application of intravenous indwelling needle at subaxillary vein for premature can keep longer maintaining time,reduce newborns′ pains,decrease complications due to transfusion,relieve nurses′ work load and save resource.
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Objective:Compare the applied effects of two methods of Venipuncture in the intrapartum infusion.Methods:220 cases of maternal venipuncture were randomized divide into observation group with 115 and control group with 105.the observation group use the BD20gY Intravenous catheter made by German Braun Corporation to establish venous access,the control group use No.7 metal scalp needle.compared the puncture time,one-time puncture success rate,the occurrence of subcutaneous hematoma in infusion,needle extrusion and liquid patency.Results:there is no significant difference in puncture time and one-time puncture success rate(P0.05),the difference in the occurrence of subcutaneous hematoma in infusion,needle extrusion and liquid patency was statistically significant(P0.01).Conclusions:BD20gY intravenous catheter is better than ordinary metal scalp needle in the intrapartum infusion.
Venipuncture
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