通过中线导管刺激输液对血管并发症的影响:中国多中心前性队列研究方案
Linfang Zhao1, Xiuzhu Cao1, Chang Liu2
1Department of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China.
BMJ open
|August 31, 2025
概括
本研究检查了中线导管 (MC) 尖端位置和刺激输液,以防止血管损伤. 这些发现将为接受长期治疗的患者提供更安全的静脉注射疗法.
科学领域:
- 血管接入装置
- 静脉注射治疗
- 患者安全
背景情况:
- 超过15厘米的中线导管 (MC) 在静脉治疗中很常见.
- 关于刺激性输液剂 (pH < 5 或 > 9, 度 > 900 mOsm/ L) 的安全使用,指南缺乏共识.
- 导管尖位置 (腹静脉与下静脉) 对并发症风险的影响尚不清楚.
研究的目的:
- 研究中线导管尖端位置与血管损伤之间的关系.
- 确定药物特性和导管位置如何影响并发症风险.
- 通过中线导管进行刺激性输液的最佳实践.
主要方法:
- 在12个中国医院进行多中心前性研究.
- 插入前超声波和插入后X射线以确认尖端的位置.
- 每周进行超声波检查以评估内脏损伤;分析炎,血栓,塞和感染.
主要成果:
- 分析尖端位置,药物特性,停留时间和并发症之间的关联.
- 将使用多变量物流和考克斯回归模型.
- 这项研究正在预测结果,等待数据分析.
结论:
- 这项研究旨在建立基于证据的中线导管使用指南.
- 这些发现将提高患者在静脉注射刺激剂治疗期间的安全性.
- 这项研究将有助于优化血管接入装置的管理.
相关概念视频
Endocarditis IV: Nursing Management
27
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
27
Cardiac Catheterization I: Pre-Procedure Overview
153
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
153
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
300
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
300
Cardiac Catheterization IV: Nursing Management
193
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
193


