手术室中的中线导管。
Midline catheters in the operating room.
机构信息
Department of Anesthesia and Pain Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine (SKKU-SOM), Changwon, Republic of Korea.
Department of Radiology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine (SKKU-SOM), Changwon, Republic of Korea.
出版信息
Niger J Clin Pract. 2023 Aug;26(8):1097-1100. doi: 10.4103/njcp.njcp_843_22.
BACKGROUNDS
Among various vascular access devices, midline catheters (MCs) are commonly used in emergency departments, but rarely in operating rooms.
AIMS
To evaluate the feasibility and safety of MCs in the operating room.
MATERIALS AND METHODS
This was a retrospective study. The medical records of patients who underwent MC placement in the operating room from October 2020 to July 2022 were reviewed. The rates of successful catheter insertion as well as major and minor complications were assessed.
RESULTS
Successful catheter insertions were achieved in 149 of 161 patients (92.5%). The median dwell time of midlines was eight days (IQR: 6-10 days). A major or minor complication occurred in 6.7% of the midlines. The rates of major complications of occlusion, upper extremity deep vein thrombosis (DVT), and catheter-related bloodstream infection were 1.3%, 0.7%, and 0%, respectively.
CONCLUSIONS
Placement of MCs in the operating room was feasible and safe. Also, the procedure provides an acceptable alternative for replacing central line catheters and peripherally inserted central catheters.
背景
在各种血管通路装置中，中线导管（MC）在急诊科中常用，但在手术室中很少使用。
目的
评估 MC 在手术室中的可行性和安全性。
材料和方法
这是一项回顾性研究。回顾了 2020 年 10 月至 2022 年 7 月期间在手术室中进行 MC 置管的患者的病历。评估了导管插入的成功率以及主要和次要并发症的发生率。
结果
161 例患者中有 149 例（92.5%）成功插入导管。中线导管的中位留置时间为 8 天（IQR：6-10 天）。6.7%的中线导管发生了主要或次要并发症。导管堵塞、上肢深静脉血栓形成（DVT）和导管相关性血流感染的发生率分别为 1.3%、0.7%和 0%。
结论
在手术室中放置 MC 是可行和安全的。此外，该操作提供了一种可接受的替代方案，可用于更换中心静脉导管和外周置入中心静脉导管。
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