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成人是否需要常规更换中心静脉导管？

Should central venous catheters be routinely replaced in adults?

机构信息

Department of Anaesthesia and Critical Care Medicine, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Peterborough, Cambridgeshire, UK.

出版信息

Br J Hosp Med (Lond). 2021 Jul 2;82(7):1-2. doi: 10.12968/hmed.2020.0711. Epub 2021 Jul 20.

DOI:10.12968/hmed.2020.0711
PMID:34338017
Abstract

Central venous catheters are sited for a variety of reasons in the adult critically ill patient. There is clear guidance for indications and maintenance of central venous catheters, but there is no clear guidance on how long a central venous catheter should remain in situ. This article looks at evidence to answer this question.

摘要

中心静脉导管在成年危重症患者中因各种原因而置管。对于中心静脉导管的适应证和维护有明确的指南，但对于中心静脉导管应在体内留置多长时间尚无明确的指南。本文旨在探讨相关证据来回答这个问题。

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引用本文的文献

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Reassessing the need for scheduled replacement of short term central venous catheters: A narrative comprehensive review.重新评估短期中心静脉导管定期更换的必要性：一项叙述性综合综述。
Infect Prev Pract. 2024 Nov 7;6(4):100420. doi: 10.1016/j.infpip.2024.100420. eCollection 2024 Dec.
2
Scheduled removal of central venous catheters (CVC) to prevent CVC-related bloodstream infections in patients with hematological disease or autologous stem cell transplantation: a registry-based randomized simulation-study.计划性移除中心静脉导管（CVC）以预防血液病或自体干细胞移植患者的 CVC 相关血流感染：一项基于注册的随机模拟研究。
Ann Hematol. 2022 Oct;101(10):2317-2324. doi: 10.1007/s00277-022-04958-w. Epub 2022 Aug 17.