Bard Groshong PICC Скачать руководство пользователя страница 12

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

Страница 1: ...B a r d A c c e s s S y s t e m s Groshong PICC and Catheters Instructions For Use...

Страница 2: ...4 Precautions 5 Precautions Possible Complications 6 14 Insertion Instructions 1 Site Selection 2 Length Determination 3 Preflushing Catheter 4 Site Preparation 5 Venipuncture 6 Catheter Insertion 7...

Страница 3: ...mm Hg Since the normal central venous pressure range in the superi or vena cava is 0 to 5 mm Hg the valve remains closed at normal cen tral venous pressure Pressure in the superior vena cava must exce...

Страница 4: ...placement for delivery of selected infusates See Contraindications For blood therapy it is recommended that a 4 French or larger catheter be used Contraindications The device is contraindicated whenev...

Страница 5: ...eral laws and regulations Cautions Carefully read and follow all instructions prior to use Federal U S A law restricts this device to sale by or on the order of a physician Only qualified healthcare p...

Страница 6: ...e opening to confirm its integrity and that the expiration date has not passed The device is supplied in a sterile pack age and is non pyrogenic Do not use if package is damaged opened or the expirati...

Страница 7: ...lications including the following Air Embolism Exit Site Infection Phlebitis Bleeding Exit Site Necrosis Spontaneous Catheter Brachial Plexus Injury Extravasation Tip Malposition or Retraction Cardiac...

Страница 8: ...s with the basilic preferred Release tourniquet 2 Patient Position Catheter Measurement Position the arm at a 90 angle For SVC placement measure from the planned insertion site over to the sternal not...

Страница 9: ...edure 4 Prepare for Insertion Set up the sterile field Prepare the site according to institution policy using sterile tech nique 5 Apply Tourniquet and Drape Apply the tourniquet above the intended in...

Страница 10: ...edle hub during insertion Do not apply excessive pressure to the T handles if applicable Perform venipuncture and observe for flashback Holding the needle stationary advance the introducer sheath into...

Страница 11: ...t Apply slight pressure on the vessel above the insertion site to mini mize blood flow Release the tourniquet Withdraw the needle from the introducer sheath 8 Insert and Advance the Catheter Insert th...

Страница 12: ...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 o...

Страница 13: ...dapter must be secured in place See step 18 12 Remove the Stylet Assembly Stabilize the catheter position by applying light pressure to the vein distal to the insertion site Slowly remove the stylet C...

Страница 14: ...nnector attachment Inspect cut surface to assure there is no loose material 15 Attach Connector to Single Lumen Catheters Retrieve the oversleeve portion of the connector and advance it over the end o...

Страница 15: ...set and or saline filled syringe Aspirate for adequate blood return and flush each lumen of the catheter with 10ml normal saline to ensure patency Note When infusion volume is a concern in small or pe...

Страница 16: ...S Curve 1 Suture wing near venipuncture 2 Place 2 anchor tapes over suture wing or bifurcation Form S curve in catheter 3 Place 3rd anchor tape sticky side up under catheter just above suture wings or...

Страница 17: ...each use Note When infusion volume is a concern in small or pediatric patients flush with 3ml per lumen Caution To reduce potential for blood backflow into the catheter tip always remove needles or n...

Страница 18: ......

Страница 19: ......

Страница 20: ...product information is available Revised date February 2007 Bard and Groshong are trademarks and or registered trademarks of C R Bard Inc or an affiliate Covered by one or more of the following U S P...

Отзывы: