Patel Shruti, Hughes Driscoll Colleen
Division of Neonatology, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland.
Neoreviews. 2025 Jan 1;26(1):e28-e40. doi: 10.1542/neo.26-1-003.
Advances in neonatal medicine over the last several decades have led to improvements in survival for the most fragile and critically ill infants. A mainstay of supporting the health needs of hospitalized infants involves use of peripheral intravenous (PIV) catheters to administer medications, parenteral nutrition, and blood products. However, PIV catheters are not without risks and complications such as infiltration and extravasation. While prevention of these complications remains a persistent challenge, a variety of treatment options may be used to reduce or avoid permanent harm. This review summarizes the range of strategies aimed at reducing PIV catheter-associated injuries and their complications.
在过去几十年里，新生儿医学的进步提高了最脆弱和重症婴儿的存活率。满足住院婴儿健康需求的一个主要手段是使用外周静脉（PIV）导管来给药、提供肠外营养和输注血液制品。然而，PIV导管并非没有风险和并发症，如渗漏和外渗。尽管预防这些并发症仍然是一项持续的挑战，但可以使用多种治疗方法来减少或避免永久性伤害。本综述总结了旨在减少PIV导管相关损伤及其并发症的一系列策略。
