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在传染病隔离单元中,在床边放置超声波引导的,外围插入的中央导管的可行性

Kyoung Won Yoon¹, Wongook Wi², Moon Suk Choi³

¹Division of Critical Care, Department of Surgery, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong 14353, Republic of Korea.

Journal of personalized medicine

|May 27, 2023

概括

通过超声指导,可以安全地将外围插入的中央导管 (PICC) 放置在传染病隔离单位 (CDIU). 电心电图 (ECG) 是一种比胸部X射线图更准确的方法来确认尖端位置.

科学领域:

关键护理医学关键护理医学
血管接入装置血管接入装置
传染病控制和控制传染病

背景情况:

关于在具有挑战性的环境 (如传染性疾病隔离室 (CDIU)) 中放置外围插入中心导管 (PICC) 的可行性,存在有限的数据.
在资源有限的环境中评估PICC插入的安全性和有效性对于患者护理至关重要.

研究的目的:

评估CDIU患者床边PICC安置的安全性和成功率.
为了比较心电图 (ECG) 与便携式胸部X射线图的准确性,以确认导管尖位置.

主要方法:

一项前性研究,涉及74名入院CDIU的患者.
使用手持式便携式超声波设备 (PUD) 进行超声波引导的静脉接入.
通过使用心电图或便携式胸部X射线图,确认了导管尖端的放置.

主要成果:

右臂的基底静脉是最常见的插入部位.
与胸部X射线图 (52.4%) 相比,使用心电图 (2.0%) 观察到位置不良的发生率显著降低,p < 0.001.
超声波指导促进了PICC在具有挑战性的CDIU环境中成功安置.

结论:

使用手持式PUD的床边PICC插入是CDIU患者的可行和安全的程序.
导管尖位置的心电图确认优于便携式胸部放射,显著降低错位率.
这种方法提高了感染隔离环境中的患者管理.

关键词:

在 COVID-19 疫情中,中心导管系统的中心导管系统.周围导管系统的使用.超声波学超声波学超声波学血管接入装置是一种血管接入装置.

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