中心静脉导管和透析导管同侧放置不影响导管尖端之间的距离、血压或去甲肾上腺素需求量。
Ipsilateral placement of central venous catheters and dialysis catheters does not affect the distance between line tips, blood pressure or noradrenaline requirements.
作者信息
Hobson Benjamin, Thorburn Patrick, Samuels Theophilus, Hodgson Luke
机构信息
Worthing Hospital, University Hospitals Sussex NHS Foundation Trust, Worthing, UK.
Surrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK.
出版信息
J Intensive Care Soc. 2025 Jun 17:17511437251347145. doi: 10.1177/17511437251347145.
Abstract
Debate exists about the safety of inserting central venous catheters (CVC) and central venous dialysis catheters (CVDC) ipsilaterally, lest the catheter tips lie in close proximity risking direct aspiration of vasopressors from the CVC into the CVDC. This study showed that ipsilateral or contralateral placement did not affect the distance between CVC and CVDC line tips. There were no significant adverse changes in cardiovascular parameters or noradrenaline dose when CRRT was commenced regardless of whether the lines were inserted ipsilaterally or contralaterally.
摘要
关于同侧插入中心静脉导管（CVC）和中心静脉透析导管（CVDC）的安全性存在争议，因为担心导管尖端位置过近，存在将CVC中的血管加压药直接抽吸到CVDC中的风险。本研究表明，同侧或对侧放置并不影响CVC和CVDC导管尖端之间的距离。无论导管是同侧还是对侧插入，开始连续性肾脏替代治疗（CRRT）时心血管参数或去甲肾上腺素剂量均无显著不良变化。
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本文引用的文献
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In an endotoxaemic model, antibiotic clearance can be affected by different central venous catheter positions, during renal replacement therapy.在内毒素血症模型中，在肾脏替代治疗期间，抗生素清除可能会受到不同中心静脉导管位置的影响。
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