tory burch sale Rescue in patients with upper gast

43nike9485qt · Wysłany: Śro 11:45, 09 Mar 2011

Rescue in patients with upper gastrointestinal bleeding external jugular vein catheter Advantage

Forearm blood vessels long time-consuming cases, the advantage is more obvious, so easy and timely choice of the position the external jugular vein. In anatomy,[link widoczny dla zalogowanych], external jugular vein is the most superficial cervical vein, there is near from the heart (especially right), superficial location, filling, easy and can be used to identify the characteristics of the sternocleidomastoid muscle as a puncture, easy to puncture success 【4】, and the external jugular vein lumen large, fast blood flow, blood vessel elasticity 【5】 catheter after the success of the smooth catheter through the jugular vein blood sampling followed by intravenous infusion tube, the liquid and drug as soon as possible Enter the patient's body, thereby saving valuable time to win, so can the external jugular vein in patients with upper gastrointestinal bleeding as the first choice for rescue peripheral vein. This study shows that: the observation group a higher success rate of needle, puncture the time required to complete than the control group,[link widoczny dla zalogowanych], and the catheter through the external jugular vein blood was significantly higher success rate, indicating that effects of the external jugular vein indwelling catheter significantly better than the forearm vein. 4-2 external jugular vein catheter indwelling forearm vein is better than the control group selected forearm vein lumen is small, slow blood flow, liquid dilution slow, and because of massive blood loss,[link widoczny dla zalogowanych], vein collapse, filling slowly, easy needle catheter on the vessel wall injury caused by mechanical friction and the vessel wall, increasing the plugging, the incidence of phlebitis. In addition patients may have a shock, confusion, irritability, body wave, such as performance involuntary struggle, not only led to puncture difficulties, even after successful puncture, due to activities likely to result in excessive catheter movement, de-pin 【6】, resulting in fluid extravasation, detached and other adverse events, are required to extubation, the catheter indwelling time shortened. The observation group selected coarse external jugular vein lumen, blood vessel diameter when filling up to 0.8 ~ 1em [, flow speed, indwelling needle can float in the blood vessels, rarely cause vessel wall injury 【8】 ,[link widoczny dla zalogowanych], and the catheter after a solid paste, the activities of the neck of its impact on small, easy to create mobile, so the number of cases of adverse events less a longer retention time. External jugular vein indwelling catheter 4.3 Note the external jugular vein access in the rescue of patients with upper gastrointestinal bleeding, although with the above-mentioned advantages, but because of its anatomical peculiarities in the process of using the indwelling catheter for nurses should be noted: ( 1) needle puncture site should not be fixed, but should be based on the surface of the external jugular vein in the sternocleidomastoid Traveling difference in the puncture pressure before the midpoint of the following part of the posterior border of sternocleidomastoid, the external jugular vein to be fully filling the upper exposed to one point after the needle puncture site; (2) The puncture site is not commonly used in the neck blood vessels, puncture the former patients and their families should make the necessary explanations to eliminate the tension; (3) Select the puncture site move when the patient's head movements should be gentle, especially for unconscious patients with particular attention should be restless, avoid causing discomfort, injury and fear; (4) successful puncture, catheter extension tube and needle followed by the pasting parts of the scalp to be properly not affect the activities of patients with head and neck is appropriate. 【
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