Bishop L, Dougherty L, Bodenham A, Mansi J, Crowe P, Kibbler C, Shannon M, Treleaven J
Guys and St Thomas Hospital, London, UK.
Int J Lab Hematol. 2007 Aug;29(4):261-78. doi: 10.1111/j.1751-553X.2007.00931.x.
Central venous access devices are used in many branched of medicine where venous access is required for either long-term or a short-term care. These guidelines review the types of access devices available and make a number of major recommendations. Their respective advantages and disadvantages in various clinical settings are outlined. Patient care prior to, and immediately following insertion is discussed in the context of possible complications and how these are best avoided. There is a section addressing long-term care of in-dwelling devices. Techniques of insertion and removal are reviewed and management of the problems which are most likely to occur following insertion including infection, misplacement and thrombosis are discussed. Care of patients with coagulopathies is addressed and there is a section addressing catheter-related problems.
中心静脉通路装置用于许多医学分支领域，这些领域需要进行长期或短期护理的静脉通路。本指南回顾了可用的通路装置类型并提出了一些主要建议。概述了它们在各种临床环境中的各自优缺点。在可能出现的并发症以及如何最好地避免这些并发症的背景下，讨论了插入前和插入后立即进行的患者护理。有一部分内容涉及留置装置的长期护理。回顾了插入和移除技术，并讨论了插入后最可能出现的问题的管理，包括感染、误置和血栓形成。讨论了凝血障碍患者的护理，并有一部分内容涉及导管相关问题。
