周辺に挿入された中央カテーテルと中枢静脈カテーテルを,火傷患者で比較する:遡及的なコホート研究
Jingyuan Lang1, Yangping Wang1, Qimeng Li1
1Institute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Southwest Hospital, Army Medical University, Chongqing 400038, China.
Burns : journal of the International Society for Burn Injuries
|August 27, 2025
まとめ
周回的に挿入された中央カテーテル (PICC) は,中枢静脈カテーテル (CVC) と比較して,感染のリスクが低く,血栓の発生率も同様です. 股関節CVCは,血栓形成のリスクを減らすために好ましいかもしれません.
科学分野:
- 医療機器
- 感染症
- 血管へのアクセス
背景:
- 周縁に挿入された中央カテーテル (PICC) と中央カテーテル (CVC) を含む中央静脈アクセス装置 (CVAD) は,火傷患者の管理に不可欠です.
- PICCとCVCの最適な選択は,まだ臨床的に不確実な領域です.
研究 の 目的:
- 火傷患者のPICCとCVCの臨床結果を比較する.
- PICC と CVC の間のキャセター関連血栓症 (CRT) とキャセター関連感染症 (CRI) の割合を評価する.
主な方法:
- 中国南西部の主要な燃焼センターで実施された遡及的なコホート研究.
- PICCまたはCVCを投与された年間1500人の灼熱患者を含む.
- 患者および治療の特徴に基づくサブグループ分析によるCRT,CRI,および感染プロフィールの分析.
主要な成果:
- PICCとCVCの両方のCRTの発生率は類似しています (4. 7%対5. 4%).
- CVCはPICCと比較してカテーテル入植率 (39. 9% 対 7. 2%) とカテーテル関連血流感染症 (CRBSI) の割合 (14. 5% 対 0. 9%) が著しく高かった.
- サブグループ分析では,PICCのCRTの比率が類似し,CRIの比率が低かったことが確認された.
結論:
- PICCは,炎症患者において,カテーテル関連感染症のリスクが低く,カテーテル関連血栓症の割合はCVCと同等である.
- 筋CVCは内筋CVCよりも低いCRT率を示した.
- これらの発見を検証するために,さらなる多センターランダム化臨床試験が推奨されます.
さらに関連する動画
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
13.2K
07:47The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
19.4K
関連する概念動画
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
300
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
300
01:26Cardiac Catheterization IV: Nursing Management
193
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
193
01:23Peripheral Artery Disease V: Postoperative Nursing Management
24
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
24
01:21Cardiac Catheterization II: Right Heart Catheterization
162
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
162
01:22Burn Injuries
2.8K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.8K
01:28Cardiac Catheterization I: Pre-Procedure Overview
153
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
153