ABSTRACT
Objective: This paper aimed to evaluate a modified posture for PICC (peripherally inserted central catheter) catheter placement by comparing with traditional posture in terms of procedure-related complications and catheter heterotopia.
Method: From December 2006 to December 2008, 519 patients were recruited into control group. These patients received PICC insertion by holding the traditional posture, i.e., horizontal position, arm abduced about 90°, and when the needle successfully entered vein, patients were required to turn his/her head to the procedure side and touch his/her chin to clavicle until the catheter reached the expected position. From January 2009 to June 2010, 508 patients to receive PICC insertion were recruited to the experiment group by holding a modified posture, in which the patients hold horizontal position, arm abduces about 90°, with no other specific requirement during the insertion procedure.
Results: No significant differences were found between the traditional and the modified posture group in the incidence of catheter heterotopia and other procedure-related complications.
Conclusion Modified posture makes patients more comfortable and relaxed during the PICC procedure. And it’s especially more applicable for non-cooperative patients.
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