中心静脉置管术
Central venous catheterization.
作者信息
Taylor Robert W, Palagiri Ashok V
机构信息
Critical Care Training Program, Saint Louis University, St. John's Mercy Medical Center, MO, USA.
出版信息
Crit Care Med. 2007 May;35(5):1390-6. doi: 10.1097/01.CCM.0000260241.80346.1B.
OBJECTIVE
To provide current information related to central venous catheterization.
DESIGN
Review of literature relevant to central venous catheterization and its indications, insertion techniques, and prevention of complications.
RESULTS
Central venous catheterization can be lifesaving but is associated with complication rates of approximately 15%. Operator experience, familiarity with the advantages and disadvantages of the various catheterization sites, and strict attention to detail during insertion help in reducing mechanical complications associated with catheterization. Strict aseptic technique and proper catheter maintenance decrease the frequency of catheter-related infections.
CONCLUSIONS
Appropriate catheter and site selection, sufficient operator experience, careful technique, and proper catheter maintenance with removal as soon as possible are associated with optimal outcome.
目的
提供与中心静脉置管相关的最新信息。
设计
回顾与中心静脉置管及其适应证、插入技术和并发症预防相关的文献。
结果
中心静脉置管可挽救生命，但并发症发生率约为15%。操作者的经验、对不同置管部位优缺点的熟悉程度以及插入过程中对细节的严格关注有助于降低与置管相关的机械并发症。严格的无菌技术和适当的导管维护可减少导管相关感染的发生频率。
结论
选择合适的导管和部位、操作者有足够的经验、操作仔细以及适当的导管维护并尽早拔除导管与最佳结果相关。
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