Danks Louise A
Vascular Surgery, Luke Ward, Guy's and St Thomas's Hospital, London.
Br J Nurs. 2006;15(12):650-4. doi: 10.12968/bjon.2006.15.12.21396.
Having central intravenous devices is an indispensable part of the total care for high dependency patients, as they are used for administration of a wide range of intravenous therapies and for haemodynamic monitoring. However, their use is frequently complicated by a variety of local or systemic infections. Therefore, all staff involved in the management of central venous catheters must base their practice on what is agreed in the literature as being effective in reducing the risk of hospital acquired infections. This article offers a literature-based review of the management of central venous catheters, focusing on skin cleansing and dressing types. Proper skin preparation prior to catheter insertion has been shown to be essential in reducing infections.
对于重症患者的整体护理而言,中心静脉置管是不可或缺的一部分,因为它们用于多种静脉治疗及血流动力学监测。然而,其使用常常因各种局部或全身感染而变得复杂。因此,所有参与中心静脉导管管理的工作人员必须依据文献中公认的有效降低医院获得性感染风险的方法来开展工作。本文对中心静脉导管的管理进行了基于文献的综述,重点关注皮肤清洁和敷料类型。已证明在插入导管前进行适当的皮肤准备对于减少感染至关重要。