中等长度导管在临床麻醉输液中的应用

Abstract
Figure/Table
References (20)
Related Citation (15)

Download: PDF (626 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the feasibility and value of medium length catheter in clinical anesthesia infusion. Methods A total of 40 patients with acute cholecystitis who underwent open cholecystectomy in Anesthesia Surgery Center of Tongzhou District Hospital of Traditional Chinese Medicine of Nantong City in Jiangsu Province from January 2020 to November 2021 were selected. According to random number table method, they were divided into group A and group B, 20 cases in each group. Group A was placed with medium length catheter as an intravenous infusion tool under ultrasound guidance. Peripheral short vein indwelling needle was routinely placed in group B. The puncture success rate, average catheter replacement time and catheter related complications were observed and compared between the two groups. Results Before anesthesia, the puncture success rate of group A was higher than that of group B, the difference was statistically significant (P＜0.05). The average replacement time of catheter in group A was longer than that in group B, and the difference was statistically significant (P＜0.05). During catheter indwelling, the total incidence of catheter-related complications in group A was less than that in group B, with statistically significant difference (P＜0.05). Conclusion In clinical anesthesia, it is safe and feasible to use ultrasound visualization technology to place medium length catheter as infusion tool, with fewer complications. It is worthy of further study and generalization.

Key words： Medium length catheter Anesthesia Intravenous infusion Clinical application

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XU Yan
	QU Yanxin

Cite this article:

XU Yan,QU Yanxin. Application of medium length catheter in clinical anesthesia infusion[J]. 中国当代医药, 2022, 29(20): 70-73.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I20/70

[1]	国家卫生健康委办公厅医政医管局.血管导管相关感染预防与控制指南（2021版）[J].中国感染控制杂志，2021， 20（4）：387-388.
[2]	国家卫生计生委.静脉治疗护理技术操作规范[J].中国护理管理，2014，14（1）：1-3.
[3]	董方方，杨巧芳，白姗.中等长度导管临床应用的研究进展[J].护理实践与研究，2018，15（12）：32-34.
[4]	王冬芮，林梅，王静.中等长度导管在成人静脉治疗中的应用现状[J].天津护理，2019，27（1）：122-125.
[5]	中心静脉血管通路装置安全管理专家组.中心静脉血管通路装置安全管理专家共识（2019版）[J].中华外科杂志，2020，58（4）：261-272.
[6]	刘芯妤，彭丽华，曾莉怡.ASA评分与手术时间在结直肠癌患者手术部位感染风险评估中的作用[J].中国感染控制杂志，2021，20（12）：1144-1148.
[7]	李加宁，白金枝，张玲.浅静脉血管评级与静脉输液穿刺质量管理[J].南方护理学报，2001，8（6）：56-57.
[8]	王雪秋，金红英.浅静脉血管评级在预防高压注射造影剂外渗中的应用[J].中西医结合心血管病电子杂志，2020，8（11）：9-11.
[9]	王蒙蒙，李平，贾灵芝.两种体位在超声引导下ZIM区域行PICC置管的应用效果[J].滨州医学院学报，2021，44（2）：141-144.
[10]	文启连,李婷,李伟珍，等.区域穿刺法联合微信平台管理在肿瘤患者PICC置管期间的应用效果[J].中国当代医药，2021，28（20）：236-238.
[11]	Sharp R，Esterman A，McCutcheon H，et al.The safety and efficacy of midlines compared to peripherally inserted central catheters for adult cystic fibrosis patients: a retrospective，observational study[J].Int J Nurs Stud，2014，51（5）：694-702.
[12]	王海播，王雪莹，何勇辉，等.中等长度导管常见并发症及护理干预研究进展[J].循证护理，2019，5（2）：132-136.
[13]	胡明明，沈小芳，顾平.国外中等长度导管的应用研究及启示[J].护理学报，2015，22（12）：33-35.
[14]	鲁华鹏，李乾杨，勤玲，等.中等长度导管在静脉治疗中研究文献可视化分析[J].右江医学，2021，49（2）：92-96.
[15]	白亚娟，张晓宇.基于文献计量法分析我国中等长度导管的应用现状[J].河南医学研究，2020，29（33）：6183-6185.
[16]	Sharp R，Cummings M，Fielder A，et al.The catheter to vein ratio and rates of symptomatic venous thromboembolism in patients with a peripherally inserted central catheter（PICC）：a prospective cohort study[J].Int J Nurs Stud，2015，52（3）：677-685.
[17]	Infusion Nurses Society.Infusion nursing standards of practice[J].J Infus Nurs，2006，29（1 Suppl）：S1-S92.
[18]	国际血管联盟中国分会，中国老年医学学会周围血管疾病管理分会.输液导管相关静脉血栓形成防治中国专家共识（2020版）[J].中国实用外科杂志，2020，40（4）：377-383.
[19]	张加乐，江婷，马迎春，等.选择适宜导管/静脉比对预防ICU患者经外周置入中心静脉导管并发上肢深静脉血栓的价值[J].中国中西医结合急救杂志，2017，24（4）：369-373.
[20]	Panebianco NL，Fredette JM，Szyld D，et al.What you see （sonographically） is what you get：vein and patient characteristics associated with successful ultrasound-guided peripheral intravenous placement in patients with difficult access[J].Acad Emerg Med，2009，16（12）：298-1303.