Division of Pediatric Surgery, Children's Wisconsin and Medical College of Wisconsin, 999N 92nd Street, Suite 320, Milwaukee, WI 53226, United States.
Division of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, 8701W. Watertown Plank Road, Milwaukee, WI 53226, United States.
Semin Pediatr Surg. 2021 Dec;30(6):151122. doi: 10.1016/j.sempedsurg.2021.151122. Epub 2021 Oct 23.
Vascular access is frequently a critical component of the diagnostic and therapeutic procedures required to manage childhood illnesses, including many emergent conditions and critical illnesses. Vascular access in the pediatric population presents unique challenges, and many clinical and technical factors must be considered to avoid complications that can occur with vascular access procedures. This article reviews various aspects of vascular access and associated iatrogenic trauma in children, including risk factors, management of complications, and preventive measures to avoid complications. It is only with a comprehensive understanding of the topic that vascular access in children can be performed safely, effectively, and efficiently.
血管通路是管理儿童疾病(包括许多急症和危重病)所需的诊断和治疗程序的重要组成部分。儿科人群的血管通路存在独特的挑战,必须考虑许多临床和技术因素,以避免血管通路操作中可能出现的并发症。本文回顾了儿童血管通路和相关医源性创伤的各个方面,包括危险因素、并发症的处理以及预防并发症的措施。只有全面了解该主题,才能安全、有效地进行儿童血管通路。