Schulmeister Lisa
Semin Oncol Nurs. 2010 May;26(2):132-41. doi: 10.1016/j.soncn.2010.02.003.
To review the central venous access device (VAD) complications of inadvertent device damage, device malfunction, and various causes of mechanical occlusion and to describe the limitations of VAD complication data.
Journal articles, legal cases, case reports, manufacturers' product information, personal experience.
The available data on VAD complications are difficult to interpret and apply in practice because of the many limitations of the studies that have been conducted (eg, single-institution, mixed patient populations, inconsistent measurement of complications). However, considerable information is known about the signs and symptoms of non-thrombotic, non-infectious VAD complications and their management.
Oncology nurses routinely use central VADs and are on the frontline for detecting VAD complications. Well-informed nurses can serve as patient advocates and help ensure that patients' VADs are functional and safe to use.
回顾中心静脉通路装置（VAD）意外装置损坏、装置故障以及各种机械性阻塞原因等并发症，并描述VAD并发症数据的局限性。
期刊文章、法律案件、病例报告（个案报道）、制造商产品信息、个人经验。
由于已开展研究存在诸多局限性（如单机构研究、混合患者群体、并发症测量不一致），现有的VAD并发症数据难以在实践中解读和应用。然而，关于非血栓性、非感染性VAD并发症的体征和症状及其处理，已有相当多的信息。
肿瘤护理人员经常使用中心VAD，且处于检测VAD并发症的前沿。知识渊博的护士可以成为患者的支持者，并有助于确保患者的VAD功能正常且使用安全。
