Miller-Hoover Suzan R, Small Leigh
Arizona State University, College of Nursing and Healthcare Innovation, Phoenix, AZ, USA.
Pediatr Nurs. 2009 May-Jun;35(3):191-201.
Central venous catheters are integral to the care of acutely ill children, providing reliable vascular access for infusions, hemodynamic monitoring, and blood sampling. However, there are risks associated with their use, the most common of which is central line-associated blood stream infections. These infections result in increased lengths of stay, increased costs, and high mortality rates. A thorough review of research evidence has been completed to fully appreciate the state of the evidence regarding the effects of bundling together the care for central venous catheters, and practice recommendations have been provided. Published studies have been appraised and evaluated for clinical and statistical significance. This appraisal has resulted in clear and specific recommendations for evidence-based practice applications, and potential policy implications are outlined in this article.
中心静脉导管对于危重症患儿的护理至关重要，可为输液、血流动力学监测和血液采样提供可靠的血管通路。然而，使用中心静脉导管存在风险，其中最常见的是中心静脉导管相关血流感染。这些感染会导致住院时间延长、费用增加和高死亡率。已对研究证据进行了全面审查，以充分了解将中心静脉导管护理措施捆绑实施的证据状况，并提供了实践建议。已对发表的研究进行了临床和统计学意义的评估。该评估产生了基于证据的实践应用的明确具体建议，本文还概述了潜在的政策影响。
