周围插入的中央导管与周围管用于新生儿的肠道营养
Sean B Ainsworth1, William McGuire2
1Neonatal Services, National Health Service Fife, Victoria Hospital, Kirkcaldy, Scotland.
JAMA
|June 22, 2016
概括
在新生儿中使用外围插入的中央导管 (PICC) 进行腹腔营养,可改善营养物质的输送,并减少额外导管的需要. 与短外相比,PICC与更高的感染率无关.
科学领域:
- 新生儿重症监护
- 儿童营养
- 血管接入装置
背景情况:
- 对于无法通过肠道养的新生儿来说,肠道营养 (PN) 是至关重要的.
- 在提供足够的长期PN方面,短的外围具有局限性.
- 边缘插入的中央导管 (PICC) 为PN输送提供了潜在的替代方案.
研究的目的:
- 通过PICC传递的PN的疗效和安全性与新生儿的短外围管进行比较.
- 评估两种接入方法之间的营养物质输送,生长和不良事件的差异.
主要方法:
- 通过PICC和短外管分析PN传递的比较研究.
- 评估营养摄入量,生长参数和不良事件的发生率,包括感染.
- 对随后的血管接入装置安置进行审查.
主要成果:
- 通过PICC输入的营养与短的外围管相比,显示出更好的营养输入.
- 通过PICC接收PN的新生儿需要更少的随后导管或导管.
- 在使用PICC时,没有观察到侵袭性感染率的显著增加.
结论:
- 基于PICC的PN与改善的营养支持和减少新生儿重新接触的需要有关.
- 在新生儿中使用PICC是一种安全的替代方案,不增加感染风险.
- 在新生儿的肠道营养中,PICC 是一种有效的血管接入策略.
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