None
Conditions
Interventions
Experimental group:1. Perform local infiltration anesthesia at the puncture point (point A) and the catheter exit point (point B), and make a small skin incision. 2. Connect a blunt-tipped, side-hole
Control group:1. Perform local infiltration anesthesia at the puncture point (point A) and the catheter exit point (point B), and make a small skin incision. 2. First, use a 10ml syringe to inject nor
Sponsors
Sun Yat-sen University Sun Yat-sen Memorial Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 18 years old, with clear consciousness, possessing normal reading, comprehension and communication abilities, and able to cooperate in completing pain and comfort level assessments; 2. Patients diagnosed with tumors through pathological examination and requiring PICC catheter insertion; 3. Without a history of venous thrombosis, upper vena cava obstruction, or abnormal coagulation function, which are contraindications for PICC insertion; 4. Meeting at least one of the indications for TPICC in the "Expert Consensus on Tunnel-Type PICC Insertion Technique (2022)" (such as poor upper limb vascular conditions requiring high-position puncture, poor skin condition requiring transfer of the catheter outlet, history of catheter displacement or unplanned removal, etc.); 5. Voluntarily participating in this study and signing this informed consent form.
Exclusion criteria
Exclusion criteria: 1. The puncture site has infection, dermatitis, damage or a history of radiotherapy; 2. There is severe coagulation dysfunction (platelet count < 50×10^9/L); 3. The upper limb on the catheter placement side has venous thrombosis, superior vena cava compression syndrome, severe vascular malformations, or a history of bilateral breast cancer resection and lymph node dissection surgery; 4. Known to be allergic to local anesthetic drugs such as lidocaine; 5. Complicated with severe cognitive dysfunction, mental illness, or critically ill and unable to cooperate with the research process; 6. Expected survival time is less than 3 months, and is receiving palliative treatment; 7. The muscle strength of the upper limb is less than grade 5 on one side or the upper limb is missing on one side; 8. Even after adjustment, the tip of the PICC catheter still cannot be located in the superior vena cava.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative pain intensity; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of puncture site bleeding within 24 hours after surgery (%);Intraoperative blood loss (g);Tunnel establishment operation time; | — |
Countries
China
Contacts
Public ContactZhang Ting
Sun Yat-sen University Sun Yat-sen Memorial Hospital
Outcome results
None listed