Hermansen Marcus C, Hermansen Mary Goetz
Department of Pediatrics, Dartmouth Medical School, One Medical Center Drive, Lebanon, NH 03756-0001, USA.
Clin Perinatol. 2005 Mar;32(1):141-56, vii. doi: 10.1016/j.clp.2004.11.005.
Central and peripheral intravascular catheters serve many important functions for sick neonates; however, the use of these catheters also carries significant risk of permanent disability or even death. This article examines the risks of catheter-related thromboembolic events, vasospasm, and infection. The article also looks at risks that are specific to umbilical artery catheters, umbilical vein catheters, peripherally-inserted central catheters, peripheral artery catheters, and peripheral intravenous catheters. Specific recommendations are made to reduce the possibility of an intravascular catheter-related complication.
中心静脉导管和外周血管内导管对患病新生儿起着许多重要作用;然而,使用这些导管也存在导致永久性残疾甚至死亡的重大风险。本文探讨了与导管相关的血栓栓塞事件、血管痉挛和感染的风险。本文还研究了脐动脉导管、脐静脉导管、外周静脉穿刺中心静脉导管、外周动脉导管和外周静脉导管特有的风险。文中提出了具体建议,以降低血管内导管相关并发症的发生可能性。