在儿童中使用相同的皮下途径重复使用道中央静脉导管的导线更换
Stefano Benvenuti1, Federico Finetti2, Elena Porteri3
1Unit of Vascular Access, ASST Spedali Civili, Brescia, Italy - stefano.benvenuti@asst-spedalicivili.it.
Minerva pediatrics
|November 14, 2023
概括
在导线上更换道中央静脉导管 (CVCs) 对儿科患者来说是一种安全有效的技术. 这种方法可以避免并发症,并且可以在局部麻醉下进行,即使在患有凝血问题的患者中也是如此.
科学领域:
- 血管外科 血管外科
- 儿科干预放射学 儿科干预放射学
背景情况:
- 道中央插入的中央静脉导管 (CICC) 对患有癌症,短肠疾病或吸收不良的儿科患者至关重要.
- 聚氨导管技术的进步允许使用较小口径的输液率高.
- 在导线上更换导管提供了一种最少的侵入性选择,可能在局部麻醉下重复使用现有的道和静脉.
研究的目的:
- 描述和评估一项用于在儿科患者中通过导线替换道化CICC的技术.
- 评估这种替代方法的可行性,安全性和效率.
主要方法:
- 对7个成功的道CICC替换在导线上进行了追溯评估.
- 没有包括患有败血症,出口部位感染或导管损伤的患者.
- 这些手术是在意大利布雷西亚的ASST Spedali Civili血管接入病房进行的.
主要成果:
- 所有7项手术都没有出现任何并发症.
- 5名患者仅接受局部麻醉,2名患者需要米达佐拉姆前期治疗,没有人需要全身麻醉.
- 该技术是快速的,可行的,安全的,并没有导致败血症,血栓栓塞或出血并发症.
结论:
- 道CICC的导线替换技术在儿科患者中是可行的,准确和高效的.
- 这种方法甚至适用于患有血小板缺血或功能障碍的凝血级联的患者.
- 该技术为选择儿科患者群体的CICC管理提供了安全有效的替代方案.
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
187
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
187
01:25Hemodialysis I: Introduction
36
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
36