血管接入装置和儿科重症监护中的相关并发症:一项前性队列研究
Melany Gaetani1,2,3,4,5,6, Sarah Kleiboer6, Randolph Kissoon6
1Child Health Evaluative Sciences, The Research Institute Hospital for Sick Children, Toronto, Ontario, Canada.
PloS one
|October 24, 2024
概括
血管接入装置的并发症发生在儿科重症监护室中大约五分之一的设备中. 需要进一步研究这些设备的液体管理和并发症管理策略.
科学领域:
- 关键护理医学 关键护理医学
- 儿科医院医药 儿科医院医药
- 血管接入 血管接入
背景情况:
- 住院患者经常使用血管内装置,在安置,维护和移除过程中存在风险.
- 与血管接入装置 (VAD) 相关的并发症是患者护理中的一个重要问题.
- 了解VAD的使用和相关问题对于改善患者的治疗结果至关重要.
研究的目的:
- 描述儿科重症监护室 (ICU) 血管接入装置的使用模式.
- 确定与VAD及其光线相关的并发症的发生率和类型.
- 在并发症出现之前分析VAD的持续时间.
主要方法:
- 一项观察性队列研究在两个儿科ICU中进行了4.5年.
- 包括入住儿科或心脏病重症监护室的患者,至少有一名VAD.
- 定义VAD为任何外部连接到循环中,包括外围,中央,动脉和骨髓接入.
主要成果:
- 观察了220名患者,683个设备和924个流明.
- 报告了21%的设备并发症率和25%的光度并发症率.
- 没有并发症的平均持续时间因器械类型而异,外周静脉导管的持续时间最短 (4天).
结论:
- 大约21%的血管接入装置在ICU环境中出现并发症.
- 尽管出现了并发症,但许多设备仍然在使用中,一些设备随着时间的推移而得到解决.
- 用于维护VAD的液体体积和减轻并发症的策略需要进一步调查.
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