错位中央静脉导管尖端:一个多中心队列研究8556个胸腔椎中心静脉导管
Emilia Ängeby1,2, Maria Adrian1,3, Gracijela Bozovic1,4
1Department of Clinical Sciences, Lund University, Lund, Sweden.
Acta anaesthesiologica Scandinavica
|February 14, 2024
概括
中枢静脉导管尖端错位发生在3.7%的病例中,主要错位发生在2.1%. 女性性别和下静脉插入等因素增加了风险,而年龄和身高则降低了风险.
科学领域:
- 医疗器械 医疗器械
- 干预性放射学 干预性放射学
- 患者安全 患者安全
背景情况:
- 关于中央静脉导管 (CVC) 尖端错位率的数据有限,超声波后的指导实施.
- 本研究解决了需要量化CVC尖端错位的发生率,并确定相关的风险因素.
研究的目的:
- 为了确定CVC尖端错位的发生率.
- 为了识别与CVC尖端错位相关的独立变量.
主要方法:
- 未来的多中心队列研究,包括8556个CVC插入在患者≥16年.
- 用于验证尖端位置的胸部放射;错位被归类为轻微或重大.
- 多变量后勤回归分析了患者/程序因素和尖端错位之间的关联.
主要成果:
- 总体上,尖端错位的发生率为3.7% (95%CI为3.3-4.1%),其中2.1% (95%CI为1.8-2.4%) 被归类为重大.
- 与女性性别相关的重大错位风险较高,关节下静脉接入,多次皮肤刺穿,操作经验较少.
- 增加的年龄和身高与较低的重大尖端错位风险相关.
结论:
- 在超声波引导的时代,CVC尖端错位发生在3.7%的病例中.
- 右内静脉导管检查显示,小和大尖端错位的发生率最低.
关键词:
导管尖的错位 导管尖的错位通过中央静脉导管导管.外部关静脉 外部关静脉内 jugular 静脉 内 jugular 静脉 静脉 内 jugular 静脉 静脉实时超声波指导实时超声波指导下静脉 下静脉 下静脉更多相关视频
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