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10
Insertion Instructions
9. Complete Catheter Insertion
• Continue to advance the catheter. For central placement, when the
tip has advanced to the shoulder, have the patient turn head (chin
on shoulder) toward the insertion side to prevent possible cannula-
tion into the jugular vein.
• Position the arm at a 90° angle, maintaining sterility. Complete
catheter advancement to the desired position. Catheter depth
markings are in centimeters.
• Warning: This is not a right atrium catheter. Avoid positioning the
catheter tip in the right atrium. Placement or migration of the
catheter tip into the right atrium may cause cardiac arrhythmia,
myocardial erosion or cardiac tamponade. The risk of these poten-
tial complications may be more likely in neonatal patients.
10. Retract Introducer. Remove Splittable Introducer
• Stabilize the catheter position by applying
pressure to the vein distal to the introducer
sheath.
• Withdraw the introducer sheath from the
vein and away from the site.
3.
2.
1.
• For splittable introducers,
split the introducer sheath and
peel it away from the catheter.
• For non-splittable introduc-
ers, introducer sheath is left
on the catheter at this time.
Содержание Groshong PICC
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