CN110051439A - PICC sets length of tube measurement method - Google Patents
PICC sets length of tube measurement method Download PDFInfo
- Publication number
- CN110051439A CN110051439A CN201910355167.2A CN201910355167A CN110051439A CN 110051439 A CN110051439 A CN 110051439A CN 201910355167 A CN201910355167 A CN 201910355167A CN 110051439 A CN110051439 A CN 110051439A
- Authority
- CN
- China
- Prior art keywords
- upper limb
- picc
- length
- centimetres
- mark
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000000691 measurement method Methods 0.000 title claims abstract description 13
- 210000001364 upper extremity Anatomy 0.000 claims abstract description 44
- 238000005259 measurement Methods 0.000 claims abstract description 19
- 206010027145 Melanocytic naevus Diseases 0.000 claims description 5
- 238000004364 calculation method Methods 0.000 claims description 2
- 238000000034 method Methods 0.000 abstract description 11
- 238000009966 trimming Methods 0.000 description 4
- 210000003462 vein Anatomy 0.000 description 3
- 210000003414 extremity Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 239000002699 waste material Substances 0.000 description 2
- 230000003601 intercostal effect Effects 0.000 description 1
- 230000000116 mitigating effect Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
Abstract
The present invention relates to a kind of PICC to set length of tube measurement method, belongs to PICC clinical technology field；Include the following steps: that (1) patient lies low and the parallel outreach of upper limb and lean to one side into 90 degree, the length of measurement upper limb mark to right articulatio sternoclavicularis is A；(2) after puncturing successfully, the length for measuring upper limb mark to the PICC point of puncture is C；It obtains PICC and sets length of tube=A+B-C, wherein B is offset distance；The method is simply convenient for operating, and PICC point of puncture position determines after puncturing successfully, then length of the row measurement upper limb mark to point of puncture, accurate positioning；Upper limb is denoted as the obvious characteristic position of patient body upper limb, and single or multiple measurement and positionings are accurate, without setting mark, will not occur indicating the problems such as fuzzy；Measurement numerical value is more accurate, so that measurement numerical value is more accurate, catheter tip location is more accurate for the calculating of offset distance B.
Description
Technical field
The present invention relates to a kind of PICC to set length of tube measurement method, belongs to PICC clinical technology field.
Background technique
PICC sets length of tube measurement existing method are as follows:
1. selecting point of puncture under B ultrasound guidance, indicating.
2. 90 degree of upper limb stretch, measuring from marked position to right articulatio sternoclavicularis, from right articulatio sternoclavicularis vertically to third intercostal
Length.
3. sterilizing skin centered on mark.
This method seems simply, but error is big.After skin degerming, mark can not seen, even if it is clear that fixed again
Also it will appear when position inconsistent.
Summary of the invention
In order to solve the above technical problems, the present invention, which provides a kind of PICC, sets length of tube measurement method, convenient for operation, positioning is quasi-
Really, measurement numerical value is more accurate.
PICC of the present invention sets length of tube measurement method, includes the following steps:
(1) patient, which lies low, the parallel outreach of upper limb and leans to one side into 90 degree, and the length that measurement upper limb is indicated to right articulatio sternoclavicularis is
A；
(2) after puncturing successfully, the length for measuring upper limb mark to the PICC point of puncture is C；
It obtains PICC and sets length of tube=A+B-C, wherein B is offset distance, and upper limb is denoted as upper limb obvious characteristic position.
Here, C value is positive if PICC point of puncture is above upper limb mark；Correspondingly, if PICC point of puncture is in upper limb
Mark lower section, then C value is negative.Top is i.e. close to the side that leans to one side, and lower section is i.e. close to one side of finger.
Preferably, the calculation method of offset distance B are as follows: B=4 centimetres at 150 centimetres of Patient height <, 150 centimetres≤suffer from
B=5 centimetres at 160 centimetres of person's height <, B=6 in 160 centimetres≤Patient height <, 170 cm range, 170 centimetres≤patient
B=7 centimetres when height.
Preferably, the upper limb mark can be elbow band.
Preferably, the upper limb mark can be naevus.
Preferably, the upper limb mark can be mole.
Preferably, the measuring tool in step (2) is sterile ruler, prevents from infecting.
Compared with prior art, the invention has the following advantages:
The method is simply convenient for operating, and point of puncture position determines after puncturing successfully, then row measurement upper limb is indicated to PICC
The length of point of puncture；Upper limb is denoted as the obvious characteristic position of patient body upper limb, and single or multiple measurement and positionings are accurate, no
With setting mark, will not occur indicating the problems such as fuzzy；Measurement numerical value is more accurate, and the calculating of offset distance B is so that measurement
Numerical value is more accurate, and catheter tip location is more accurate.By clinical practice, the method reduces the probability of catheter tip trimming,
It avoids trimming the waste of time caused by conduit repeatedly, improves working efficiency, save consumptive material；And mitigate the psychological burden of patient, increase
The sense of accomplishment that add operation personnel puncture.
Specific embodiment
The invention discloses a kind of PICC to set length of tube measurement method, includes the following steps:
(1) 90 degree of patient's upper limb stretch, the length of measurement upper limb mark to right articulatio sternoclavicularis are A；
(2) after puncturing successfully, the length for measuring upper limb mark to the point of puncture is C；
It obtains PICC and sets length of tube=A+B-C, wherein B is offset distance, and upper limb is denoted as upper limb obvious characteristic position.
Here, C value is positive if PICC point of puncture is above upper limb mark；Correspondingly, if PICC point of puncture is in upper limb
Mark lower section, then C value is negative.Top is i.e. close to the side that leans to one side, and lower section is i.e. close to one side of finger.
Wherein, offset distance B passes through the research with various data such as Patient height, footwear sizes, waistline, pushing degree, final true
Determine PICC to set the most desired reference data of length of tube measurement to be height data.The method for calculating offset distance B according to Patient height
Are as follows: B=4 centimetres at 150 centimetres of Patient height <, B=5 centimetres at 160 centimetres of 150 centimetres≤Patient height <, 160 centimetres≤
B=6 in 170 cm range of Patient height <, B=7 centimetres when 170 centimetres≤Patient height.
Upper limb is denoted as the obvious characteristic position of patient body upper limb, such as elbow band or naevus or mole etc., there is naevus
Or the mole period of the day from 11 p.m. to 1 a.m preferentially uses naevus or mole, otherwise uses elbow band or other obvious characteristics.Single or multiple measurement and positionings are equal
It accurately, is not in the problems such as mark is fuzzy.When it is left limb that PICC, which sets pipe position, upper limb is denoted as left upper extremity mark；When
PICC set pipe position be right limb when, upper limb be denoted as right upper extremity mark.
Measuring tool in step (2) is sterile ruler, prevents from polluting and infect.
After the method, 200 patients are acquired in clinical process, wherein male 97, female 103, age 40-59
Year 34,60-90 years old age 166, right basilic vein 103, left basilic vein 91, left brachial vein 6, clinical practice
199 disposable PICC of patient set pipe success, and fold back occurs in 1 patient.It is 99.5% that disposable PICC, which sets pipe success rate,.
Compared with prior art, the invention has the following advantages:
The method is simply convenient for operating, and point of puncture position determines after puncturing successfully, then row measurement upper limb is indicated to PICC
The length of point of puncture, accurate positioning；Upper limb is denoted as the obvious characteristic position of patient body upper limb, single or multiple measurement and positionings
It is accurate, without setting mark, will not occur indicating the problems such as fuzzy；It is more accurate to measure numerical value, the calculating of offset distance B
Make measurement numerical value more accurate, catheter tip location is more accurate.By clinical practice, the method reduces catheter tip trimming
Probability avoids trimming the waste of time caused by conduit repeatedly, improves working efficiency, save consumptive material；And the psychology for mitigating patient is negative
Load increases the sense of accomplishment that operator punctures.
Claims (6)
1. a kind of PICC sets length of tube measurement method, which comprises the steps of:
(1) patient, which lies low, the parallel outreach of upper limb and leans to one side into 90 degree, and the length of measurement upper limb mark to right articulatio sternoclavicularis is A；
(2) after puncturing successfully, the length for measuring upper limb mark to the PICC point of puncture is C；
It obtains PICC and sets length of tube=A+B-C, wherein B is offset distance, and upper limb is denoted as upper limb obvious characteristic position.
2. PICC according to claim 1 sets length of tube measurement method, which is characterized in that the calculation method of offset distance B
Are as follows: B=4 centimetres at 150 centimetres of Patient height <, B=5 centimetres at 160 centimetres of 150 centimetres≤Patient height <, 160 centimetres≤
B=6 centimetres in 170 cm range of Patient height <, B=7 centimetres when 170 centimetres≤Patient height.
3. PICC according to claim 2 sets length of tube measurement method, which is characterized in that the upper limb is denoted as elbow cross
Line.
4. PICC according to claim 2 sets length of tube measurement method, which is characterized in that the upper limb is denoted as naevus.
5. PICC according to claim 2 sets length of tube measurement method, which is characterized in that the upper limb is denoted as mole.
6. PICC described in any one of -5 claims sets length of tube measurement method according to claim 1, which is characterized in that step
(2) measuring tool in is sterile ruler.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910355167.2A CN110051439A (en) | 2019-04-29 | 2019-04-29 | PICC sets length of tube measurement method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910355167.2A CN110051439A (en) | 2019-04-29 | 2019-04-29 | PICC sets length of tube measurement method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110051439A true CN110051439A (en) | 2019-07-26 |
Family
ID=67321571
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910355167.2A Pending CN110051439A (en) | 2019-04-29 | 2019-04-29 | PICC sets length of tube measurement method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN110051439A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111110366A (en) * | 2020-02-19 | 2020-05-08 | 山东大学齐鲁医院 | Mechanical measuring scale for length of medium-length catheter |
| CN113080937A (en) * | 2021-04-08 | 2021-07-09 | 南通市海门区人民医院 | Method for predicting PICC (peripherally inserted Central catheter) catheter placement length |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20130178739A1 (en) * | 2012-01-11 | 2013-07-11 | William C. Hamilton, Jr. | Methods, assemblies, and devices for positioing a catheter tip using an ultrasonic imaging system |
| CN107149698A (en) * | 2011-06-01 | 2017-09-12 | 悉尼大学 | Material of bio-compatible and application thereof |
| CN108283756A (en) * | 2018-01-04 | 2018-07-17 | 西安交通大学医学院第附属医院 | Internal arteriovenous fistula label punctures and its fixing device |
| CN109157222A (en) * | 2018-08-24 | 2019-01-08 | 庞海燕 | Multipurpose medical measuring scale |
| CN208710008U (en) * | 2017-11-17 | 2019-04-09 | 重庆建设医院 | A kind of internal arteriovenous fistula measurement ruler |
-
2019
- 2019-04-29 CN CN201910355167.2A patent/CN110051439A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107149698A (en) * | 2011-06-01 | 2017-09-12 | 悉尼大学 | Material of bio-compatible and application thereof |
| US20130178739A1 (en) * | 2012-01-11 | 2013-07-11 | William C. Hamilton, Jr. | Methods, assemblies, and devices for positioing a catheter tip using an ultrasonic imaging system |
| CN208710008U (en) * | 2017-11-17 | 2019-04-09 | 重庆建设医院 | A kind of internal arteriovenous fistula measurement ruler |
| CN108283756A (en) * | 2018-01-04 | 2018-07-17 | 西安交通大学医学院第附属医院 | Internal arteriovenous fistula label punctures and its fixing device |
| CN109157222A (en) * | 2018-08-24 | 2019-01-08 | 庞海燕 | Multipurpose medical measuring scale |
Non-Patent Citations (4)
| Title |
|---|
| 赵翠云；张巧凤；刘凡平: "PICC置管理想置入深度与患者身高及体外测量方法的研究", 《中国继续医学教育》 * |
| 赵翠云；张巧凤；刘凡平: "PICC置管理想置入深度与患者身高及体外测量方法的研究", 《中国继续医学教育》, 20 September 2016 (2016-09-20), pages 230 * |
| 高青；钱火红: "PICC置管长度测量方法的改进", 《护理学杂志》 * |
| 高青；钱火红: "PICC置管长度测量方法的改进", 《护理学杂志》, 25 July 2013 (2013-07-25), pages 11 * |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111110366A (en) * | 2020-02-19 | 2020-05-08 | 山东大学齐鲁医院 | Mechanical measuring scale for length of medium-length catheter |
| CN113080937A (en) * | 2021-04-08 | 2021-07-09 | 南通市海门区人民医院 | Method for predicting PICC (peripherally inserted Central catheter) catheter placement length |
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| PB01 | Publication | ||
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| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20190726 |
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