How many number of central venous catheters are ventilated with catheter
Fixed central venous catheter, slowly pull out the guide wire, before the complete pull out, should first clamp the catheter,
To prevent the leakage of gas into the abdominal cavity; connected drainage bag, open the catheter clip, to ensure smooth drainage; with a transparent film cover tube,
Properly fixed drainage tube and drainage bag to avoid prolapse,
The ball can be fixed with a cotton ball or gauze roll at a certain angle to the abdominal wall
Set up, such as
45
Can be. Every other day
0
·
5%
Povidone-iodine disinfection at the skin and catheter, replace the transparent film, keep the skin
Dry and replace the drain bag daily. Such as drainage speed is greater than
500
Ml / h
, When the drainage is full
1
500
Ml
When the trap tube is closed
2 ~ 4 h
, To prevent drainage too fast, pay attention to keep the whole aseptic operation, and observe whether the drainage tube is smooth.
?
by
B
Super-dynamic observation of ascites fluid situation. If necessary, through the catheter for peritoneal perfusion therapy.
The right hand along the tail into the guide wire will be inserted into the abdominal cavity,
Fixed guide wire,
Exit puncture needle,
If necessary, the skin can be guided
Into the expansion of skin and subcutaneous tissue
1 ~ 2
Times
Exit the skinned needle,
The central venous catheter along the guide wire into,
And determine the catheter in the abdomen
The length of the cavity is about
5 ~ 8
Cm
Steps and methods:
?
method
?
Patients take semi-recumbent
, B
Super-positioning or conventional puncture points in the left anterior superior iliac spine and umbilical connection in the third of the intersection
At the office.
use
Seldinger
Tube method.
Conventional disinfection shop towels,
One-time syringe is taken with deep vein puncture needle
2%
Lidocaine
3 ~ 5 ml
Along the puncture point vertical into the needle, layer by layer of local anesthesia, into the sense of sense of sense of a sense of withdrawal back to a liquid, left hand fixed puncture syringe,
