Panknin Hardy-Thorsten
Pflege Z. 2006 Dec;59(12):2-8.
Central venous catheter-related infections are often occurring nosomical infections. Central venous catheters in a malposition are able to cause mechanical complications like pneumothorax, haemothorax, and embolism, likely followed by severe health problems. An overview of current international literature shows that a great part of problems with catheters originate out of unknown or unheeded guidelines. Results of intervention studies demonstrate that the rate of venous catheter-related complications, especially of infections, can be lowered significantly by interdisciplinary preparatory training and regular collection of data. It could not be answered conclusively which catheter material should be preferred, while in case of parenteral nutrition always a separate lumen of a catheter with many lumens should be used.
中心静脉导管相关感染是常见的医院感染。位置不当的中心静脉导管会引发机械性并发症，如气胸、血胸和栓塞，可能进而导致严重的健康问题。对当前国际文献的综述表明，导管的很大一部分问题源于未知或未被遵循的指南。干预研究结果表明，通过跨学科的预培训和定期收集数据，可显著降低静脉导管相关并发症的发生率，尤其是感染率。无法明确哪种导管材料更优，而在肠外营养的情况下，应始终使用多腔导管中的一个单独腔。
