Multidisciplinary consultation with regards to the difficulty for removing peripherally inserted central catheters in a senior elderly patient postprint

Abstract: To explore the causes and nursing strategies of peripherally inserted central catheters (PICC) removal difficulty in senior elderly patients. A senior elderly patient with PICC difficulty for removing was analyzed comprehensively. The main reasons for the difficulty of removal were the adhesion of the catheter tip to the wall of superior vena cava, the change of anatomical structure of the vein and the loss of elasticity of the catheter after repeated pulling. The senior elderly group has some characteristics different from the general patient group, such as long-term bed rest, limb loss, long-term intravenous parenteral nutrition and so on, During the use of PICC, attention should be paid to abnormal changes of catheter, consult with specialist nurses in time, and solve problems with multidisciplinary consultation when necessary, so as to avoid difficulties in removal caused by improper maintenance and improper removal operation and serious complications caused by removal failure.