中心静脉导管插入用于血管接入:为期6年的单中心体验
Merve Misirlioglu1, Dincer Yildizdas2, Damla Pinar Yavas2
1Department of Pediatric Intensive Care, Mersin University Faculty of Medicine, Mersin, Turkey.
概括
儿童的中央静脉导管治疗是各种治疗的常见方法. 当不再需要时,导管最常被移除,血液中感染的发生率较低.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 血管接入程序 血管接入程序
- 感染控制 感染控制
背景情况:
- 中枢静脉导管 (CVC) 对于儿科重症监护室 (PICU) 患者至关重要,使血液动力学监测,营养和药物输送成为可能.
- 该程序存在风险,需要仔细审查指示,技术和结果.
- 了解CVC使用模式和并发症对于优化患者护理和安全至关重要.
研究的目的:
- 追溯分析中央静脉导管插入和取出PICU中的指示.
- 识别使用的导管类型和相关并发症.
- 为了评估超声波指导对心血管中心插入的影响.
主要方法:
- 对2015年至2020年间在PICU中插入的1200个中央静脉导管进行了回顾性审查.
- 收集的数据包括插入/取出,导管类型,插入部位,超声波指导,感染和使用时间的指示.
- 分析的重点是使用模式和并发症率.
主要成果:
- 总共审查了1200个导管,其中73.8%是CVC和26.3%是血液透析导管.
- 最常见的CVC插入的指示是多次药物输注 (28.4%).
- 导管相关的血流感染发生在每1000个导管天中有5.5次;大多数导管 (76.8%) 在不再需要时被移除.
结论:
- 中枢静脉导管是儿科重症监护中经常使用和有益的程序.
- 由于侵袭性质和潜在的并发症,仔细选择患者,无菌技术和经验丰富的人员至关重要.
- 一旦说明停止,及时清除CVC对于患者的安全至关重要.
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