• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

完全植入式静脉通路装置(TIVADs)中延长冲洗间隔的影响。

Effects of prolonged flushing interval in totally implantable venous access devices (TIVADs).

作者信息

Rasero Laura, Golin Lisa, Ditta Serena, Di Massimo Dino Stefano, Dal Molin Alberto, Piemonte Guya

机构信息

Associate Professor, Department of Health Science, University of Florence, Careggi Teaching Hospital, Florence, Italy.

Nurse, Oncology Outpatient Clinic, Careggi Teaching Hospital, Florence, Italy.

出版信息

Br J Nurs. 2018 Apr 26;27(8):S4-S10. doi: 10.12968/bjon.2018.27.8.S4.

DOI:10.12968/bjon.2018.27.8.S4
PMID:29683741
Abstract

Totally implantable venous access device (TIVAD) lumen occlusion is a long-term complication of central venous catheters, associated with risks of infection, therapy interruptions and increased healthcare costs. The role of flushing and locking in maintaining TIVAD patency is paramount. Most flushing protocols are based on manufacturers' recommendations, which indicate that 4 weeks is the safest interval between two consecutive flushing procedures during periods when TIVADs are not in use. Conversely, results of several studies suggest that extended flushing intervals (FIs) do not increase the rate of obstructive or infective complications. The study aimed to describe the effects of prolonged FIs in a cohort of 317 patients with cancer. The authors found no significant difference in terms of TIVAD problems between long (>45 days) and short (≤45 days) FI groups, which raises questions over the validity of current practice.

摘要

完全植入式静脉通路装置(TIVAD)管腔闭塞是中心静脉导管的一种长期并发症,与感染风险、治疗中断及医疗费用增加相关。冲洗和封管在维持TIVAD通畅方面起着至关重要的作用。大多数冲洗方案基于制造商的建议,这些建议表明,在TIVAD未使用期间,连续两次冲洗程序之间4周是最安全的间隔时间。相反,几项研究的结果表明,延长冲洗间隔(FI)并不会增加阻塞性或感染性并发症的发生率。该研究旨在描述延长FI对317例癌症患者队列的影响。作者发现,长FI组(>45天)和短FI组(≤45天)在TIVAD问题方面没有显著差异,这对当前做法的有效性提出了质疑。

相似文献

1
Effects of prolonged flushing interval in totally implantable venous access devices (TIVADs).完全植入式静脉通路装置(TIVADs)中延长冲洗间隔的影响。
Br J Nurs. 2018 Apr 26;27(8):S4-S10. doi: 10.12968/bjon.2018.27.8.S4.
2
Maintaining patency in totally implantable venous access devices (TIVAD): a time-to-event analysis of different lock irrigation intervals.维持完全植入式静脉通路装置(TIVAD)的通畅性:不同封管冲洗间隔时间的生存分析
Eur J Oncol Nurs. 2014 Feb;18(1):66-71. doi: 10.1016/j.ejon.2013.09.002. Epub 2013 Oct 4.
3
Extending the interval of flushing procedures of totally implantable vascular access devices in cancer patients: It is time for a change.延长癌症患者全植入式血管通路装置冲洗程序的间隔时间:是时候改变了。
J Vasc Access. 2021 Sep;22(5):689-691. doi: 10.1177/1129729820959928. Epub 2020 Sep 22.
4
Management of functional complications of totally implantable venous access devices by an advanced practice nursing team: 5 years of clinical experience.高级实践护理团队管理全植入式静脉通路装置的功能并发症:5 年临床经验。
Eur J Oncol Nurs. 2012 Dec;16(5):465-71. doi: 10.1016/j.ejon.2011.11.006. Epub 2012 Jan 21.
5
A totally implantable venous access device (TIVAD) abandoned for 5 years is re-accessed normally: A case report and literature review.完全植入式静脉输液港(TIVAD)废弃 5 年后仍可正常重新使用:1 例报告并文献复习。
J Vasc Access. 2023 May;24(3):502-506. doi: 10.1177/11297298211039656. Epub 2021 Aug 16.
6
Short Versus Long Timing of Flushing of Totally Implantable Venous Access Devices When Not Used Routinely: A Systematic Review and Meta-analysis.当不完全常规使用时,完全植入式静脉通路装置冲洗的短时间与长时间:系统评价和荟萃分析。
Cancer Nurs. 2021;44(3):205-213. doi: 10.1097/NCC.0000000000000819.
7
Totally Implantable Venous Access Device Care Practices and Experiences of Pediatric and Adult Oncology Nurses.完全植入式静脉通路装置的护理实践及儿科和成人肿瘤科护士的经验。
J Infus Nurs. 2024;47(3):182-189. doi: 10.1097/NAN.0000000000000547. Epub 2024 May 10.
8
Technology of flushing vascular access devices.血管通路装置的冲洗技术
J Infus Nurs. 2006 May-Jun;29(3):137-45. doi: 10.1097/00129804-200605000-00003.
9
Totally implantable venous access devices: evaluation of complications and a prospective comparative study of two different port systems.完全植入式静脉通路装置:并发症评估及两种不同端口系统的前瞻性对比研究
Neth J Med. 2000 Dec;57(6):215-23. doi: 10.1016/s0300-2977(00)00083-8.
10
Prolonged flushing and locking interval for totally implantable vascular access device: A systematic review and meta-analysis.完全植入式血管通路装置的延长冲洗和锁定间隔:系统评价和荟萃分析。
J Vasc Access. 2021 Nov;22(6):969-978. doi: 10.1177/11297298211003003. Epub 2021 Mar 22.

引用本文的文献

1
Is it feasible to prolong the flushing interval for totally implantable venous access devices (TIVADs)? A systematic review and meta-analysis.延长完全植入式静脉通路装置(TIVADs)的冲洗间隔是否可行?一项系统评价和荟萃分析。
Int J Clin Oncol. 2025 Jan;30(1):40-50. doi: 10.1007/s10147-024-02665-2. Epub 2024 Nov 27.
2
Central venous access device terminologies, complications, and reason for removal in oncology: a scoping review.肿瘤学中中央静脉通路装置的术语、并发症和移除原因:范围综述。
BMC Cancer. 2024 Apr 19;24(1):498. doi: 10.1186/s12885-024-12099-8.
3
Exploring risk factors for totally implantable venous access devices (TIVADs)-related thrombotic occlusion in the off-treatment period.
探讨治疗期结束后完全植入式静脉通路装置(TIVAD)相关血栓性闭塞的危险因素。
Sci Rep. 2023 Jul 4;13(1):10767. doi: 10.1038/s41598-023-37902-7.
4
Safety and feasibility assessment of extending the flushing interval in totally implantable venous access port flushing during the non-treatment stage for patients with breast cancer.乳腺癌患者非治疗阶段完全植入式静脉输液港冲管间隔延长的安全性与可行性评估
Front Oncol. 2022 Dec 2;12:1021488. doi: 10.3389/fonc.2022.1021488. eCollection 2022.
5
Evidence on port-locking with heparin versus saline in patients with cancer not receiving chemotherapy: A randomized clinical trial.未接受化疗的癌症患者中肝素与生理盐水封管的证据:一项随机临床试验。
Asia Pac J Oncol Nurs. 2022 May 21;9(9):100085. doi: 10.1016/j.apjon.2022.100085. eCollection 2022 Sep.
6
A retrospective observational study on maintenance and complications of totally implantable venous access ports in 563 patients: Prolonged versus short flushing intervals.一项关于563例患者完全植入式静脉输液港维护及并发症的回顾性观察研究:延长冲洗间隔与缩短冲洗间隔的比较
Int J Nurs Sci. 2021 Jun 4;8(3):252-256. doi: 10.1016/j.ijnss.2021.05.005. eCollection 2021 Jul 10.