沙特阿拉伯新生儿中中枢静脉导管插入概况和并发症:一个横截面研究
Ahmed Elabbasy1, Haifa Abdullah Alkorbi1, Ilene Padua1
1Division of Neonatology, Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
BMJ open
|November 1, 2024
概括
在新生儿中,外围插入的中央导管 (PICC) 比静脉导管 (UVC) 有更多的并发症. 医疗保健提供者应密切监测PICC,特别是在长期使用期间,并意识到UVC错位风险.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 血管接入装置是指血管接入装置.
- 儿科医学 儿科医学 儿科医学
背景情况:
- 中心静脉导管对于新生儿护理至关重要.
- 通常使用的是静脉导管 (UVC) 和外围插入的中央导管 (PICC).
- 了解并发症概况对于患者安全至关重要.
研究的目的:
- 在新生儿中比较UVC和PICC之间的并发症率.
- 为了确定非选择性中央导管切除的速度.
- 为了比较上肢插入与下肢插入中的PICC并发症.
主要方法:
- 在新生儿重症监护病房进行前性横截面队列研究.
- 包括所有需要中央导管插入的新生儿.
- 收集的数据包括导管类型,插入部位,停留时间和并发症.
主要成果:
- PICC显示的并发症率高于UVC (p=0.001).
- 非选择性的PICC去除比UVC去除 (22.8%) 更频繁 (32.1%).
- 紫外线线与更多的错位有关,而PICC则有更多的,闭塞和泄漏.
结论:
- PICC和UVC具有不同的并发症概况,需要量身定制的临床方法.
- 对于UVCs的错位和PICCs的其他并发症的警至关重要.
- 坚持最佳实践和了解中央线路相关血流感染 (CLABSI) 的风险因素至关重要.
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