Objective  The purpose of this study is to look into the existing state of power peripherally inserted central venous catheters (PICC) imaging examinations in hospitals and departments at or above the second level across the country, and to create a foundation for standardization and thorough promotion of power PICC imaging examinations.

Methods  From February 19, 2023 to November 7, 2023, Survey Questionnaire for power PICC Imaging information was collected through convenience sampling method among the nursing managers in 70 second level or above hospitals using contrast agents in 25 provinces, autonomous regions, and municipalities across China. SPSS 27.0 was used to analyze the data.

Results  100 Questionnaires from 68 hospitals were included, with 42 hospitals (61.76%) conducting Power PICC imaging examinations in 46 departments (46.00%). There was a significant positive correlation between hospitals of different grades and the number of power PICC patients (r=0.417, P<0.05), With the increase of hospital grades, the number of power PICC patients showed an increasing trend. However, there was no correlation between the number of Power PICC imaging examinations and different types of hospitals (r=-0.149, P>0.05) and geographical regions (r=-0.130, P>0.05). The operation standards of power PICC imaging examination are not uniform. The main reason for the limited development of power PICC imaging examinations is the lack of patients with Power PICC (62.96%) and the concern of doctors and patients about the potential risks of Power PICC examinations (18.52%).

Conclusion  power PICC imaging examination is carried out on a small scale, the development is slow, and the procedure is poorly standardized. Urgent advice is required to standardize the operation process, improve professional training, and promote consistent management of Power PICC imaging examinations.

1.钱培芬, 翁素贞. 静脉输液置管与维护指南[M]. 北京：世界图书出版公司, 2008. [Qian PF, Weng SZ. Guidelines for catheterization and maintenance of intravenous infusion[M]. Beijing: World Publishing Corporation, 2008]

2.Vaughn VM, Omalley M, Flanders SA, et al. Association of infectious disease physician approval of peripherally inserted central catheter with appropriateness and complications[J]. JAMA Netw Open, 2020, 3(10): e2017659. DOI: 10.1001/jamanetworkopen.2020.17659.

3.Guta A, Perri M, Strike C, et al. "With a PICC line, you never miss": The role of peripherally inserted central catheters in hospital care for people living with HIV/HCV who use drugs[J]. Int J Drug Policy, 2021, 96: 103438.DOI: 10.1016/j.drugpo.2021.103438.

4.Williamson EE, Mckinney JM. Assessing the adequacy of peripherally inserted central catheters for power injection of intravenous contrast agents for CT[J]. J Comput Assist Tomogr, 2001, 25(6): 932-937. DOI: 10.1097/00004728-200111000-00016.

5.赵新雁, 潘爱珍, 黄慧玲,等. 耐高压双腔PICC应用于CT增强扫描的效果观察[J]. 护理学报, 2017, 24(9): 57-58. [Zhao XY, Pan AZ, Huang HL, et al. Observation of the effect of high-pressure dual cavity PICC applied in CT enhanced scanning[J]. Journal of Nursing(China), 2017, 24(9): 57-58.] DOI: 10.16460/j.issn1008-9969.2017.09.057.

6.梅莉, 高小玲, 赵云云. 耐高压注射型PICC导管在CT增强扫描中的应用价值[J]. 放射学实践, 2019, 34(1): 88-91. [Mei L, Gao XL, Zhao YY. Application of high pressure resistant PICC catheter for contrast-enhanced computed tomography[J]. Radiol Practice, 2019, 34(1): 88-91.] DOI: 10.13609/j.cnki.1000-0313.2019.01.018.

7.宋欢欢, 高伟, 武艳, 等. 山东省235所医院PICC护理质量与安全管理现状的调查分析[J]. 护士进修杂志, 2018, 33(8): 764-767. [Song HH, Gao W, Wu Y, et al. Investigation and analysis of the current status of PICC nursing quality and safety management in 235 hospitals in Shandong province[J]. Journal of Nurses Training, 2018, 33(8): 764-767.] DOI: 10.16821/j.cnki.hsjx.2018.08.029.

8.邓虹, 杨泽宏, 苏赟, 等. 新型耐高压PICC作为CT增强检查对比剂注射通路的临床应用研究[J]. 中华介入放射学电子杂志, 2020, 8(3): 256-259. [Deng H, Yang ZH, Su Y, et al.Clinical application of a new power PlCC as a contrast injection pathway for CT enhanced examination[J]. Chin J Int Rad (Electronic Edition), 2020, 8(3): 256-259.] DOI: 10.3877/cma.j.issn.2095-5782.2020.03.014.

9.杨雪春, 江慕尧, 赵万秋, 等. 临床静脉输液方式选择的研究进展[J]. 西南国防医药, 2013, 23(2): 224-225. [Yang XC, Jing MY, Zhao WQ, et al. Research progress on the selection of clinical intravenous infusion methods[J]. Southwest National Defense Medicine. 2013, 23(2): 224-225.] DOI: 10.3969/j.issn.1004 -0188.2013.02.050.

10.陈琳. 耐高压注射型PICC导管在CT增强扫描中的应用价值研究[J]. 人人健康, 2020, 511(2): 43. [Chen L.Research on the application value of high-pressure injection type PICC catheter in CT enhanced scanning[J]. Health for Everyone, 2020, 511(2): 43.] DOI: CNKI:SUN:RRJK.0.2020-02-047.

11.Baxi SM, Shuman EK, Scipione CA, et al. Impact of postplacement adjustment of peripherally inserted central catheters on the risk of bloodstream infection and venous thrombus formation[J]. Infect Control Hosp Epidemiol, 2013, 34(8): 785-792. DOI: 10.1086/671266.

12.Nolan ME, Yadav H, Caecytt KA, et al. Complication rates among peripherally inserted central venous catheters and centrally inserted central catheters in the medical intensive care unit[J]. J Crit Care, 2016, 31(1): 238-242. DOI: 10.1016/j.jcrc.2015.09.024.

13.Miller DL, Ogrady NP. Guidelines for the prevention of intravascular catheter-related infections: recommendations relevant to interventional radiology[J]. J Vasc Interv Radiol, 2012, 23(8): 997-1007. DOI: 10.1016/j.jvir.2012.04.023.

14.国家卫生和计划生育委员会．静脉治疗护理技术操作规范[J]. 中国护理管理，2014, 14(1): 1-3. [National Health and Family Planning Commission. Normative nursing techniques for intravenous therapy[J]. Chin Nurs Manag, 2014, 14(1): 1-3.] https://www.cnki.com.cn/Article/CJFDTotal-GLHL201401002.htm.

15.Coyle D, Bloomgraden D, Beres R, et al. Power injection of contrast media via peripherally inserted central catheters for CT[J]. J Vasc Interv Radiol, 2004, 15(8): 809-814. DOI: 10.1097/01.RVI.0000128812.20864.EC.

16.魏曾曾, 吴丹. 安徽省静脉治疗专业队伍建设的现况调查[J]. 中国实用护理杂志, 2016, 32(17): 1330-1333. [Wei ZZ, Wu D.Investigation of profession development status of intraveineuse nurse team in Anhui province[J]. Chinese Journal of Practical Nursing, 2016, 32(17): 1330-1333.] DOI: 10.3760/cma.j.issn.1672-7088.2016.17.016.

17.王娜, 张抗怀. 关于医疗机构药物警戒体系建设实践与思考[J]. 药物流行病学杂志, 2023, 32(11): 1217-1224. [Wang N, Zhang KH.Practice and reflection of pharmacovigilance system construction[J]. Chinese Journal of Pharmacoepidemiol, 2023, 32(11): 1217-1224.] DOI: 10.19960/j.issn.1005-0698.202311003.

18.Melby V, Gillespie M, Martin S. Emergency nurse practitioners: the views of patients and hospital staff at a major acute trust in the UK[J]. J Clin Nurs, 2011, 20(1-2): 236-246. DOI: 10.1111/j.1365-2702.2010.03333.x.

19.Myatt R. Nursing and midwifery council revalidation[J]. Nurs Stand, 2015, 30(7): 52-59. DOI: 10.7748/ns.30.7.52.s48.

20.Cao J, Peng CX, Xu JW, et al. Multidisciplinary cooperative mode led by infusion nurse specialists used to ensure the nursing quality of peripherally inserted central catheters in China: a 5-year retrospective study[J]. J Vasc Access, 2023, 24(3): 370-378. DOI: 10.1177/11297298211033507.

21.严云丽, 左杰, 孙学珍, 等. 耐高压注射型PICC导管的临床应用及护理[J]. 中华护理杂志, 2012, 47(2): 158-159. [Yan YL, Zuo J, Sun XZ, et al. Clinical application and nursing of power peripherally inserted PICC[J]. Chinese Journal of Nursing, 2012, 47(2): 158-159.] DOI: 10.3761/j.issn.0254-1769.2012.02.023.