血管超声导向程序的经验:从ICU到医院的经验
Miguel Angel Oviedo-Torres1, Andrés Felipe Yepes-Velasco2,3, Jeimy Lorena Moreno-Araque1
1Department of Critical Medicine and Intensive Care, Fundación Santa Fe de Bogotá, Carrera 7 No. 117 - 15, Bogotá, Colombia.
The ultrasound journal
|September 19, 2024
概括
周围插入的中央静脉导管 (PICC) 可以导致诸如血流感染和血栓形成等并发症. 识别风险因素和实施护理包可以减少需要PICCs的患者的这些不良事件.
科学领域:
- 血管接入装置 血管接入装置
- 传染性疾病 传染性疾病
- 血栓形成的原因之一是血栓形成.
背景情况:
- 周围插入的中央静脉导管 (PICC) 的使用在全球范围内有所增加.
- PICC与导管相关的血栓形成 (CRT) 和中央线路相关的血液感染 (CLABSI) 有关.
- 了解患者的特征和PICC并发症的风险因素至关重要.
研究的目的:
- 描述需要PICCs的患者.
- 为了估计CLABSI和CRT的发病率.
- 确定与PICC相关并发症相关的风险因素.
主要方法:
- 对2022年9月至2024年5月需要PICC的成年患者的回顾性分析.
- 从一个活跃的PICC监控数据库中收集的数据.
- 计算了CLABSI和CRT的发病率,以及粗略的赔率比率.
主要成果:
- 包括1936名患者;中位数年龄为67岁,51.5%为女性.
- CLABSI发生率为2.03每1000个导管日 (2.96在ICU);CRT发生率为0.58每1000个导管日 (0.61在ICU).
- 对CLABSI的危险因素包括长时间使用 (≥6天),ICU插入和心脏手术后的护理. 手臂静脉插入与CRT有关.
结论:
- 每日PICC评估至关重要,特别是对于高风险患者.
- 针对长期使用,手臂插入和心脏手术后护理的有针对性的干预措施可以减轻风险.
- 血管接入团队,护理包和机构协议改善了结果.
关键词:
与导管相关的感染.中心静脉导管是中央静脉导管.哥伦比亚哥伦比亚哥伦比亚哥伦比亚哥伦比亚复杂性 复杂性 复杂性事件发生率 事件发生率几率比率的几率比率比率.边缘插入的中央导管线插入插入.静脉血栓的形成 静脉血栓的形成更多相关视频
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