在一般儿科病房维护外围插入的中央导管
Hiro Nakao1,2, Yusuke Tokuda1,2, Shintaro Morooka1
1Department of General Pediatrics & Interdisciplinary Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan.
The journal of vascular access
|February 27, 2025
概括
周围插入的中央导管 (PICCs) 在儿童中可以运行数月. 在上腔静脉 (SVC) 中的最佳放置可以延长导管的存活时间,减少并发症和移除.
科学领域:
- 儿科医学 儿科医学
- 血管接入 血管接入
- 医疗器械 医疗器械
背景情况:
- 周围插入的中央导管 (PICC) 在儿科护理中对长期静脉输入越来越重要.
- 了解PICC停留时间和影响寿命的因素对于有效的患者管理至关重要.
- 目前关于儿童PICC长期维持的知识有限.
研究的目的:
- 为了确定一般儿科病房PICC的停留时间.
- 为了确定并发症和故意删除PICC的原因.
- 探索与成功插入PICC和长期导管维护相关的因素.
主要方法:
- 从2020年4月到2023年9月的儿科PICC程序的回顾性分析.
- 生存时间分析以评估PICC居住时间.
- 回归分析以确定成功插入和延长导管存活的预测因素.
主要成果:
- 在78项手术中,66项实现了中央静脉通道,其中57 (78%) 的PICC被使用到治疗完成.
- 平均PICC存活时间为170天;75%的存活时间为52天.
- 导管尖端放置在上腔静脉 (SVC) 与更长的生存时间 (HR,0.14) 有显著的关联.
结论:
- 在儿科患者中,PICC可以维持长时间,通常持续数月.
- 上腔静脉 (SVC) 导管尖端的放置似乎是延长PICC存活的关键因素.
- 需要进一步的研究来优化实现SVC放置的技术.
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