在亲肠营养期间未注入肝素输液的新生儿中,经皮皮质-马体导管封闭:描述性队列研究
Vito D'Andrea1, Giorgia Prontera1, Cecilia Monachini1
1Neonatology Unit, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
JPEN. Journal of parenteral and enteral nutrition
|December 12, 2025
概括
没有肝素的新生儿中央静脉导管的管理显示,闭塞的发生率很低. 这种无氨酸的方法是安全的,可行的,当遵循标准化的协议时,在早产婴儿中进行门营养.
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.
- 父母肠道营养是一种营养.
背景情况:
- 氨酸通常用于新生儿中枢静脉导管中用于腹腔营养,但其在早产婴儿中的疗效和安全性尚未得到充分证实.
- 对于这种脆弱人群中肝素使用的潜在安全问题存在担忧.
研究的目的:
- 评估新生儿中导管闭塞的发生率,这些新生儿通过未使用肝素管理的皮皮内导管获得亲肠道营养.
- 评估新生儿中央导管管理的无肝素方法的安全性和可行性.
主要方法:
- 对新生儿进行了一项描述性队列研究,这些新生儿需要长管导管用于腹腔营养.
- 没有通过导管注射肝素;收集了导管特征,插入和取出数据.
- 测量的主要结果是每1000个导管天数中导管封闭的发生率.
主要成果:
- 分析了357名带有357个导管的新生儿 (4007天).
- 平均妊娠年龄为29周,平均出生体重为1050克.
- 观察到较低的闭塞发生率:3个闭塞 (0.7%的导管),相当于每1000个导管天的0.76个闭塞.
结论:
- 在接受肠道营养的新生儿中,用于管理皮皮-子导管的无肝素方法,导致闭塞率较低.
- 这些发现表明,无肝素的策略是安全的和可行的,只要实施标准化的护理协议.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
684
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,...
684
Cardiac Catheterization IV: Nursing Management
606
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...
606
Aneurysm IV: Nursing Management
353
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
353
Cardiac Catheterization I: Pre-Procedure Overview
993
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...
993


