Blood reflex and ultrasound guided puncture related to peripheral inserted central venous catheter

• Project/Area Number: 15K08851
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical and hospital managemen
• Research Institution: Nagoya City University
• Principal Investigator: SASANO HIROSHI 名古屋市立大学, 大学院医学研究科, 教授 (20215742)
• Co-Investigator(Kenkyū-buntansha): 薊 隆文 名古屋市立大学, 医学(系)研究科(研究院), 講師 (20231110)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000); Fiscal Year 2017: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000); Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2015: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
• Keywords: 末梢挿入型中心静脈カテーテル / 医療安全 / 血液逆流 / 医療の質 / ニードルフリーコネクター

Outline of Final Research Achievements

A study was done to safely insert a peripheral inserted central venous catheter. In the technique of real-time ultrasonic guided puncture, the factor impeding the hand eye co-operation is movement of the head during procedure, and it is necessary to establish a procedure that does not cause head movement. We presented a simple vein validation method without color Doppler for echo guided puncture. Blood reflex causing catheter related blood flow infection and catheter thrombosis was shown to occur by attaching and detaching the syringe to the needle-less connector and showed that it varies greatly depending on the type of connector.We have developed a technique to easily ultrasound guide and puncture with a new type of T-shaped probe.

Research Products

• [Book] 必ずうまくいくPICC (2017)
  • Author(s): 徳嶺譲芳、金井理一郎、笹野 寛、他9名
  • Total Pages: 130
  • Publisher: 羊土社
  • ISBN: 9784758118187