Panepinto Robingale, Harris Jill, Wellette Jessica
Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA.
Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA.
Nurs Clin North Am. 2021 Sep;56(3):389-399. doi: 10.1016/j.cnur.2021.05.001.
The insertion, use, and maintenance of peripheral and central intravenous lines are skills used by nurses in a variety of health care and hospital settings. However, patient vascular access is not without potential complications that can result in patient harm. The aim of this review is to identify and summarize nursing research standards of care, and best practices for safe management and prevention of catheter-associated bloodstream infections related to peripheral intravascular (PIV) and central intravenous (CVC) line placement. The authors focused on concepts of site selection, skin preparation and insertion, securement, and maintenance and removal criteria for PIV and CVC.
外周和中心静脉置管的插入、使用及维护是护士在各种医疗保健和医院环境中所运用的技能。然而,患者的血管通路并非没有潜在并发症,这些并发症可能会对患者造成伤害。本综述的目的是识别并总结护理研究的护理标准,以及与外周血管内(PIV)和中心静脉(CVC)置管相关的导管相关性血流感染的安全管理和预防的最佳实践。作者重点关注了PIV和CVC的部位选择、皮肤准备与插入、固定以及维护和拔除标准等概念。