一个用于插入胸口的GAVeCeLT包:SIC-Port协议
Fabrizio Brescia1, Maria Giuseppina Annetta2, Fulvio Pinelli3
1Unit of Anesthesia and Intensive Care Medicine, Vascular Access Team, Centro di Riferimento Oncologico di Aviano, IRCCS, Aviano, Italy.
The journal of vascular access
|November 13, 2025
概括
SIC-Port捆绑,一种新方法插入完全植入的静脉接入装置 (端口),使用基于证据的策略来减少并发症. 这种安全插入胸口技术现在是培训课程的标准.
科学领域:
- 血管外科 血管外科
- 医疗器械 医疗器械
- 干预性放射学 干预性放射学
背景情况:
- 完全可植入的静脉接入装置 (端口) 对于长期患者的接入至关重要,特别是在瘤学中.
- 传统的端口插入涉及到对上/下关节静脉的直接管道,带有潜在的并发症.
- 尽量减少与端口插入相关的并发症是关键的临床目标.
研究的目的:
- 介绍和描述SIC-Port (胸口安全插入) 捆绑,这是一个基于证据的插入协议.
- 详细介绍SIC-Port包的八个步骤,旨在最大限度地减少并发症.
- 要突出意大利长期静脉接入设备集团 (GAVeCeLT) 在培训课程中采用SIC-Port捆绑.
主要方法:
- 使用快速中央静脉评估 (RaCeVA) 协议对静脉进行系统的超声波评估.
- 遵守严格的卫生,防毒和最大限度的屏障预防措施.
- 超声波导导管,尖端导航和胸腔评估,首选用于腹静脉.
- 使用心电图和/或心声回声图的过程内尖端位置确认.
- 标准化创建和关闭皮下口袋.
主要成果:
- 该SIC-Port捆绑集成了多个基于证据的战略,以实现更安全的端口插入.
- 该协议强调了在静脉选择,管道和尖端放置的整个程序中的超声波指导.
- 它包括用于肺部评估和确认最佳尖端定位的具体步骤.
- 该包旨在减少与胸口位置相关的即时,早期和晚期并发症.
结论:
- 该SIC-Port包代表了一个全面的,以证据为基础的胸口插入的方法.
- 实施SIC-Port捆绑可能会最大限度地减少程序复杂性.
- 该协议在培训课程中的采用表明其在改善患者安全和程序结果方面的价值.
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