The smallest case of premature baby in pediatric PICC catheterization
Sanqin Metropolis Daily - Sanqin News (correspondent Meng Jie reporter Ruan Banhui) Recently, on an ordinary morning, the doctors of newborns in the First Affiliated Hospital of Xi'an Medical College were busy with their work, and suddenly there was a rapid telephone ringing.
"Hello, this is the obstetrics department, there is a 29-week-old, placental abruption of the mother, you need to go to the operating room immediately to cooperate with the rescue." The pediatric paramedic put down the phone, picked up the obstetric consultation box, and went straight to the operating room.
This is a gestational age of 29 + 2 weeks, weighing only 1190g of premature baby, the whole body skin bruising, breathing slightly laborious, medical staff on the spot to give resuscitation balloon positive pressure ventilation, and immediately admitted to the pediatric department, small children belong to very low birth weight and gestational age is small, prone to gastroesophageal reflux and gastric retention and other feeding intolerance, need to be given as soon as possible for a long time continuous intravenous injection of drugs and nutrient solution. Puncture difficulties due to delicate peripheral blood vessels, imperfect development, and poor blood circulation in children. In order to reduce the incidence of infection and protect the child's blood vessels, after evaluation, the child's vital signs are stable and meet the conditions for insertion of a PICC catheter.
Percutaneous insertion into the central venous catheter - PICC
The central venous catheter, PICC, is inserted percutaneously, usually in the veins of the child's upper or lower extremities, and eventually reaches the large blood vessels of the heart. There are many advantages of indwelling PICC, not only the risk of puncture is small, the trauma is small, the success rate is high, but also the protection of blood vessels, reduce the stimulation caused by repeated venipuncture, and the long indwelling time (retention time can be 14 days to 1 year), which can reduce the occurrence of phlebitis and tissue damage.
The pediatric care team carefully evaluates the peripheral vascular condition of the child, and due to the different degrees of malformations in the left upper and lower limbs of the child, considering the possible malformation of the blood vessels, and finally, the catheter is selected in the right axillary vein of the child. The entire catheterization process was very smooth, and the completion of the chest x-ray also showed that the catheter was located in the superior vena cava of the child, and the return blood was smooth, which was very successful.
This is the smallest weight premature baby in the Department of Pediatrics of the First Affiliated Hospital of Xi'an Medical College (only 1190g at the time of catheterization).
PICC pipeline maintenance is also important
The maintenance of PICC pipes is also a very important task. Carefully observe the scale of the exposed catheter, do a good job of sterile operation, timely flush the pipe to prevent pipeline blockage, regularly replace the film and infusion joint, etc., at the same time, do a good job of handover, each of which requires pediatric nurses to carefully check and record in detail, and at the same time achieve seamless docking of the handover shift.
Today, picc catheters have been incubated for 30 days, and babies thrive day by day under the meticulous care of medical staff. Now that your baby's weight has increased to 1780 g, the transition from gastric tube nasal feeding to oral feeding has stopped supported by parenteral nutrition. The child's vital signs and indicators are gradually normal, everything is developing in a good direction, and the PIC catheter is also ready to be removed for the baby.
Premature babies are angels who came to the world early, and after the meticulous care of pediatric medical staff in the First Affiliated Hospital of Xi'an Medical College, this little one can soon return to mom and dad!