Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2021; 9(17): 4253-4261
Published online Jun 16, 2021. doi: 10.12998/wjcc.v9.i17.4253
“AFGP” bundles for an extremely preterm infant who underwent difficult removal of a peripherally inserted central catheter: A case report
Qiong Chen, Yan-Ling Hu, Shao-Yu Su, Xi Huang, Ying-Xin Li
Qiong Chen, Yan-Ling Hu, Shao-Yu Su, Xi Huang, Ying-Xin Li, Department of Neonatal Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan Province, China
Qiong Chen, Yan-Ling Hu, Shao-Yu Su, Xi Huang, Ying-Xin Li, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, Sichuan Province, China
Author contributions: Chen Q contributed to the design, analysis, and drafted the manuscript; Li YX contributed to the analysis, and critically revised the manuscript; Hu YL, Su SY, and Huang X critically revised the manuscript; All authors read and approved the final manuscript.
Supported by the 2017 Scientific Research Project of Sichuan Health and Family Planning Commission, No. 18PJ215.
Informed consent statement: Parents of the patient were informed about the treatment-related risk and solutions. Besides, informed written consent was obtained from the patient's parents for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying-Xin Li, MSN, Nurse, Department of Neonatal Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, No. 20, Section 3, Renmin South Road, Chengdu 610041, Sichuan Province, China. 632915584@qq.com
Received: December 15, 2020
Peer-review started: December 15, 2020
First decision: December 28, 2020
Revised: January 8, 2021
Accepted: February 26, 2021
Article in press: February 26, 2021
Published online: June 16, 2021
Core Tip

Core Tip: We report a rare case of an extremely preterm infant who underwent level 3 difficult removal of a peripherally inserted central catheter. We faced unprecedented difficulties and challenges during tube removal and several conventional methods were performed. Finally, we successfully removed the peripherally inserted central catheter using a new approach “AFGP,” where “A” indicates assessment, “F” refers to finding reasons, “G” refers to general nursing, and “P” indicates phentolamine for moist heat application.