经外周静脉穿刺中心静脉置管操作技术专家共识2023

现代临床护理(Modern Clinical Nursing)2023.22(2)1·专家共识·经外周静脉穿刺中心静脉置管操作技术专家共识·广东省护理学会静脉输液治疗专业委员会执笔：陈利芬1，卫建宁2，屈盈莹3，杨玉红1(1中山大学附属第一医院，广东广州，510080：2广州市第一人民医院：3中山大学孙逸仙纪念医院，广东广州，510000)[摘要]目的形成《经外周静脉穿刺中心静脉置管操作技术专家共识》（以下简称《共识》），规范经外周静脉穿刺中心静脉置管(peripherally inserted central venous catheter,PICC)操作实施方法，减少导管置管过程中及置管后相关并发症，延长PICC使用寿命。方法查阅国内外PHCC操作技术的相关文献并结合静脉治疗专家的工作经验，形成初版《共识》：通过3次专家论证、审核、证据总结，对各条目进行调整、修改，形成终版《共识》。结果《共识》的内容覆盖了PCC置管操作各个环节，包括PCC禁忌症与适应症，基本要求与基本原则、置管前评估，置管操作流程与操作要点，置管中的常见问题的预防与处理、导管尖端定位等方面。结论《共识》具有一定的科学性和较强临床实用性，可为PICC置管操作技术提供教学及临床实践指导，从而提高置管的成功率。[关键词]经外周静脉穿刺中心静脉置管：护理技术：专家共识[中图分类号]R47[文献标识码]A[文章编号]1671-8283(2023)02-0001-09[D0010.3969.issn.1671-8283.2023.02.001Expert consensus on skills of peripherally inserted central catheterChen Lifen'.Wei Jianning.Qu Yingying.Yang Yuhong//Modern Clinical Nursing,-2023,22(2):1.(1.The First Affiliated Hospital ,Sun Yat-sen University,Guangzhou,510080:2.Guangzhou First People's Hospital:3.Sun Yat-senMemorial Hospital,Sun Yat-sen University,Guangzhou,510000,China)[Abstract]Objective To establish an expert consensus on skills in peripherally inserted central catheter(PICC)and to reducecomplications fromcatheterisation and prolong the service life of PICC.Methods By searching domestic and foreign literatures in last 10years and consulting intravenous therapists on the clinical and teaching experiences,the first version of expert consensus on skills of pe-ripherally inserted central catheterisation was initiated.It was finalised through three rounds of adjustments and revisions after debates,ex-aminations and evidence summarisations with the experts.Result The consensus summarises the latest evidence of pre-catheterisationassessment,operation flow and catheter tip location.Conclusions This expert consensus on catheterisation process is scientific and prac-tical.It can be referred as a clinical guidance,thereby to increase the success rateofcatheterisation[Key words peripherally inserted central catheter;nursing technique;expert consensus经外周静脉穿刺中心静脉置管(peripherally in-脉、肘正中静脉、头静脉、肱静脉、颈外静脉（新生serted central venous catheter,PICC)是经上肢贵要静儿还可以通过下肢大隐静脉、头部颞静脉、耳后静脉等)穿刺置管，导管尖端位于上腔静脉或下腔静[基金项目]*本课题为广东省护理学会基金课题脉]。近年来，由于PICC置管操作可由护士在床旁“PICC置管专家共识”，编号为gdhlxueh2019d012。[收稿日期]2021-04-27实施，并且适用于所有药物的静脉输液治疗，同时可[作者简介】陈利芬(1963-)，女，主任护师，硕士，主要以作为血流动力学的测量工具，广泛应用各级医疗机从事临床护理管理工作。构的临床工作中]。实施该技术过程中不可避免的(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net