The Department of Medical Oncology in the eight wards of Wuhu Chinese Medicine Hospital, adhering to the principle of combining Chinese and Western medicine with multiple means and multiple ways to treat tumors, actively carries out bedside deep venipuncture placement under the leadership of Director Cha Mingbao, which reduces pain for patients with long-term intravenous infusion and chemotherapy. In order to carry out this operation further and better, the deep venipuncture projects currently carried out in our department are introduced as follows: 1. 2. Advantages: Because of the poor vascular condition of tumor patients, it is difficult to infuse fluids via periphery and increases the chance of phlebitis in patients. And if the patient’s condition changes rapidly, it can open the venous access directly through the indwelling catheter, which can fight for the treatment time. 3.Selectable placement locations: Transjugular vein Trans subclavian vein Trans femoral vein 4.Possible risks: Any operation or surgery has different degree of risks and failures, and the same is true for deep vein placement. The specific type of risk is related to the site where you are operating. The anatomy of the internal jugular vein and the subclavian vein shows that both are at the apex of the lung at the top of the chest cavity, the arteries and veins are in close proximity to each other and to the heart. Therefore, the following risks can occur here: (1) Pneumothorax and air embolism: When the heart is in diastole and the chest cavity is in cooperation with the heart and chest cavity, the pressure of the heart and chest cavity is lower than the external atmospheric pressure and becomes negative, so the external air can easily enter the chest cavity and heart and produce pneumothorax and air embolism (pulmonary embolism). This is a fatal risk and can be life-threatening once it occurs. (2) Local hematoma, hemothorax, local infection, sepsis: If the patient has poor coagulation function or mistakenly punctures the artery, hemothorax and subcutaneous hematoma will be formed because of high arterial pressure or blood does not easily coagulate into the chest cavity or subcutaneous, and over time, infection will occur leading to sepsis. (3) Unsuccessful puncture: Unsuccessful puncture can be caused by local anatomical variation or inappropriate body position or inappropriate selection of puncture point and angle of needle entry. 5. At present, our department has been widely skilled in such operations, and the incidence of clinical complications is low.
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