长外围静脉导管的性能和并发症:一个回顾性单中心研究
Julie Krath1, Jesper Fredskilde2, Simone Krogh Christensen2
1Department of Cardiothoracic and Vascular Surgery, Anaesthesia Section, Aarhus University Hospital, Aarhus N, Denmark.
Acta anaesthesiologica Scandinavica
|August 26, 2024
概括
长周围静脉导管 (LPC) 的失效率很高,炎是最常见的原因. 使用脑静脉进行LPC插入与导管失效的增加有关,而万科米辛输液没有显著的关联.
科学领域:
- 血管接入 血管接入
- 传染性疾病 传染性疾病
- 医疗器械 医疗器械
背景情况:
- 静脉注射疗法对住院患者至关重要.
- 便携式超声波设备增加了长外围静脉导管 (LPC) 的使用.
- 本研究评估了与LPCs相关的临床性能和并发症.
研究的目的:
- 评估长周围静脉导管 (LPC) 的临床性能.
- 为了确定LPC失效和去除的主要原因.
- 调查患者/输液特征与LPC并发症之间的关联.
主要方法:
- 追溯性,观察性,单站点研究设计.
- 从751个连续插入LPC的18个月的数据评估.
- 主要终点:导管切除的全因发病率;次要终点:切除的原因和与失败相关的因素.
主要成果:
- 整体导管切除率为每1000个导管日中的95.8.
- 导管故障发生在50.3%的病例中,最常见的原因是疹 (17.9%).
- 通过脑静脉插入显著相关联与增加的导管失效 (p < .001).
结论:
- 炎,透和无意去除是导致LPC失败的主要原因.
- 脑静脉是LPC衰竭的重要危险因素.
- 在万科米辛输注和LPC失败之间没有发现显著的关联.
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