在新生儿中插入近道基底静脉和腹静脉中心线的可访问性和安全性
Hany Aly1, Mohamed Mohamed1, Sehar Ejaz2
1Cleveland Clinic Foundation, Cleveland, OH, USA.
SAGE open medicine
|September 13, 2023
概括
在新生儿中,通过近道基底静脉或腹静脉插入中心线,成功率高达91.7%,没有严重的并发症. 这种技术对难以进入血管的新生儿有效,包括早产婴儿.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 血管接入程序的方法
- 儿科医学 儿科医学 儿科医学
背景情况:
- 新生儿通常需要中央静脉通道进入重症监护.
- 难以进入血管是新生儿重症监护室 (NICU) 的一个常见挑战.
- 替代的中央线路插入地点对于管理复杂的案件至关重要.
研究的目的:
- 评估新生儿通过近道基底静脉或尾静脉插入中心线的成功率.
- 评估与此程序相关的可归因并发症.
- 在这个群体中描述中央线插入的机动.
主要方法:
- 在新生儿重症监护室对接受或试图进行腹中央线插入的婴儿进行回顾性研究.
- 对成功率,并发症和患者结果的审查.
- 分析患者的人口统计数据,包括年龄,体重和妊娠年龄.
主要成果:
- 在85名婴儿中试图通过下静脉插入中央线,成功率为91.7% (78次成功插入).
- 患者的中位体重为2600克,中位修正妊娠年龄为36周.
- 在85名婴儿中,没有报告任何严重并发症.
结论:
- 通过近端基底和腹静脉插入中心线是新生儿难以进入血管的非常成功的技术.
- 这种程序即使在出生时体重非常低和出生时体重极低的早产婴儿中也是可行的.
- 这种方法对新生儿特别有益,这些新生儿之前的中心线尝试失败了.
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