Yesterday, at the invitation of a consultation at Laiwu Hospital of Traditional Chinese Medicine, PICC tubes were placed under ultrasound guidance for two cute little boys, Jianshui and Linhan, both of whom had broken peripheral blood vessels and could only be placed under ultrasound guidance, one requiring chemotherapy and the other requiring q6h sedation of mannitol. Gao Wei, Shandong University Qilu Hospital nursing consultation
Jianshui was very nervous when he saw us, he kept crying and twisting his little arm around, one nurse clutched his little hand and coaxed him, another nurse wore a sterile surgical gown and sterile gloves to fix his upper arm, I took advantage of the interval when the child was crying to quickly enter the needle and put in the guidewire after seeing the blood return, the guidewire was delivered smoothly and my nervousness was relaxed for a moment, followed by opening the catheter, flushing, anesthesia, skin dilation, feeding into the vascular sheath, feeding into the PIC. The catheter was opened, flushed, anesthetized, dilated, fed into the vascular sheath, and fed into the PICC catheter in one fell swoop.
Linghan was beautiful, lying in the hospital bed as if he was asleep, very quiet and heartbreaking. Little Linghan was comatose, with thin arms and thin blood vessels. After the needle was inserted, the tip of the needle was clearly visible under the ultrasound, but no blood was returned, so I was in a hurry! The child is a glioblastoma, 4 months after surgery, coma for a long time, do not eat or drink, can only rely on fluids, intracranial hypertension, q6h sedation mannitol, ・・・・・・ I suddenly realized that the child does not return blood or slow return blood, and long-term dehydration, blood volume deficiency related to ah! But after all, it was an external consultation, so I was cautious before I could fully feed the catheter and position it, and I always reminded myself to take my time and do it slowly. ・・・・・・ After the successful placement of the catheter, I carefully looked at the mother of the child, the mother’s face was full of fatigue, sadness ・・・・・・ can not use words to comfort this young mother, I am also the mother of a boy, my child was once 4 years old, I went up and hugged the mother tightly, she leaned on my shoulder, we did not say anything, I think we have said many, many words ・・・・ ・・・
We arrived in Laiwu from Jinan at 1:40 p.m. After the tube was placed, we felt our stomachs growling, and we didn’t have time to eat lunch, so we had to eat a fast food.