在PICC和中线插入过程中,与道和伪道技术相关的安全性和并发症
Stefano Elli1,2, Silvia Cavalli1,2, Valentina Fantini3
1Direction of Health and Social Professions, IRCCS San Gerardo dei Tintori Foundation, Monza, Italy.
The journal of vascular access
|October 25, 2024
概括
中心静脉导管的标准和伪道技术都提供了类似的安全性和患者舒适性. 伪道是患有凝血障碍的患者的安全选择,与非道PICC程序相比.
科学领域:
- 血管接入 血管接入
- 最少侵入性手术的方法
- 患者安全 患者安全
背景情况:
- 周边插入的中央导管 (PICC) 和中线导管提供了有利的风险/收益比.
- 道化技术允许在理想的静脉穿刺部位不合适时进行最佳的导管涌现部位放置.
- 标准和伪道是公认的安全技术,但对选择标准和并发症的数据有限.
研究的目的:
- 为了比较使用标准与伪道技术插入的道导管的手术内和手术后并发症.
- 评估伪道在患有血小板 (PLT) 或国际正常化比率 (INR) 疾病的患者的安全性和有效性.
主要方法:
- 追溯观察性研究分析了143名接受道导管插入的患者的数据.
- 患者被分为三个分组:标准道 (没有PLT/INR疾病),伪道 (没有PLT/INR疾病) 和伪道 (有PLT/INR疾病).
- 对并发症进行了立即评估,在手术后24小时和7天后进行了评估.
主要成果:
- 在这三个小组中,没有观察到立即,短期或中期道并发症的显著差异.
- 该研究包括了标准和无障碍伪道组的113名患者和有障碍伪道组的30名患者.
结论:
- 标准和伪道技术都为道导管插入提供了可比的安全性和患者舒适性.
- 伪道测试表明,对于患有PLT/INR凝血障碍的患者来说,安全性相当于非道化PICC预防措施.
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