Mateer J R, Thompson B M, Aprahamian C, Darin J C
Ann Emerg Med. 1983 Mar;12(3):149-52. doi: 10.1016/s0196-0644(83)80556-3.
We attempted to determine whether central venous catheters are effective for rapid fluid administration in moderately to severely hypovolemic patients. Comparative maximum flow rates with water and blood products were tabulated for various central and peripheral catheters. The USCI 8 and 9 French introducers (USCI Cardiology and Radiology Division, CR Bard, Inc, Ellerica, MA) had the fastest flow rates of all catheters tested (P less than .05). The best peripheral catheter, IV extension tubing cut to 12-inch length, had slightly less flow than did the introducers (P less than .05). The Deseret Subclavian Jugular Catheter (Deseret Co, Sandy, UT) had by far the slowest measured flow rates. Several parameters were evaluated that alter flow rates regardless of catheter size, including a pressure infusion cuff, packed red blood cells diluted with normal saline, and a Fenwal blood warmer (Fenwal Laboratories, Division of Travenol Laboratories, Inc, Deerfield, IL). Central venous catheters can be effective adjuncts for rapid fluid administration.
我们试图确定中心静脉导管对中重度低血容量患者快速补液是否有效。列出了各种中心静脉导管和外周静脉导管输注水和血液制品时的最大流速比较数据。在所有测试的导管中，美国外科公司（USCI）8号和9号法国导管（美国外科公司心脏科和放射科，CR Bard公司，马萨诸塞州埃勒里卡）流速最快（P < 0.05）。最佳外周静脉导管是剪成12英寸长的静脉延长管，其流速略低于导管（P < 0.05）。德塞雷特锁骨下颈内静脉导管（德塞雷特公司，犹他州桑迪）的流速是目前所测导管中最慢的。我们评估了几个不依赖导管尺寸而改变流速的参数，包括压力输液袖带、用生理盐水稀释的浓缩红细胞以及芬沃尔血液加温器（芬沃尔实验室，特拉文诺尔实验室公司旗下部门，伊利诺伊州迪尔菲尔德）。中心静脉导管可作为快速补液的有效辅助手段。
