摘除结结或卡住的外周导管:对病例报告的系统审查
Bikash Khadka1, Apurb Sharma1, Ashim Regmi1
1Department of Anesthesia and Critical Care, Nepal Mediciti, Lalitpur, Nepal.
Anesthesia and pain medicine
|July 19, 2023
概括
深入插入外周导管可以导致陷. 建议移除侧面形位置,然后再使用原始插入位置.
科学领域:
- 麻醉学 麻醉学
- 医疗器械安全 医疗器械安全
背景情况:
- 外周导管结结或陷入是罕见但显著的并发症.
- 这给麻醉师在手术过程中带来了挑战.
研究的目的:
- 为了调查外周导管陷的原因.
- 确定有效的方法来移除被困的外周导管.
主要方法:
- 对病例报告和病例系列进行了系统审查.
- 关键词包括"外周","导管","结结","卡住","陷入"和"陷入".
- 遵循了系统审查和元分析 (PRISMA) 的首选报告项目指南.
主要成果:
- 分析了59个病例,平均插入深度为11.8厘米.
- 在45.8%的病例中发现了放射性结,平均距离尖端2.59厘米.
- 在初始和最终的导管位置之间发现了显著的差异 (P = 0.049).
结论:
- 深入插入是外周导管被困的主要原因.
- 侧部形位置是推的第一线移除方法.
- 制定了预防和清除策略的建议.
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