Matey Laurl, Camp-Sorrell Dawn
Oncology Nursing Society, Pittsburgh, PA, USA.
Children's of Alabama, Birmingham, AL, USA.
Asia Pac J Oncol Nurs. 2016 Oct-Dec;3(4):357-364. doi: 10.4103/2347-5625.196480.
Nursing management of venous access devices (VADs) requires knowledge of current evidence, as well as knowledge of when evidence is limited. Do you know which practices we do based on evidence and those that we do based on institutional history or preference? This article will present complex VAD infection and occlusion complications and some of the controversies associated with them. Important strategies for identifying these complications, troubleshooting, and evaluating the evidence related to lack of blood return, malposition, infection, access and maintenance protocols, and scope of practice issues are presented.
静脉通路装置（VADs）的护理管理需要了解当前的证据，以及了解证据有限的情况。你知道我们哪些操作是基于证据的，哪些是基于机构历史或偏好的吗？本文将介绍复杂的VAD感染和堵塞并发症以及与之相关的一些争议。文中还介绍了识别这些并发症、解决问题以及评估与回血不畅、位置不当、感染、通路和维护规程以及执业范围问题相关证据的重要策略。
