Mesh : Humans Catheterization, Peripheral / instrumentation adverse effects methods Catheterization, Central Venous / instrumentation methods adverse effects Catheter-Related Infections / prevention & control etiology Catheters, Indwelling / adverse effects Central Venous Catheters / adverse effects

来  源:   DOI:10.1097/ACO.0000000000001387

Abstract:
OBJECTIVE: This review summarizes the latest findings and recommendations about the characteristics, indications and use of peripheral and central long-term venous access devices.The various complications inherent in these devices are becoming better known, and their contributing factors determined, which could make it possible to reduce their incidence.
RESULTS: Some measures are integrated into recommendations for good practice, such as appropriate selection of devices, the preferential use of the thinnest catheters, and cyanoacrylate glue and dressings impregnated with chlorhexidine.
CONCLUSIONS: Improving understanding of the phenomena leading to infectious and thrombotic complications, as well as better knowing the differences between intravenous devices and their respective indications, should lead to improvement of in-hospital and out-of-hospital care.
摘要:
目的:这篇综述总结了关于这些特征的最新发现和建议,外周和中央长期静脉接入装置的适应症和使用。这些设备固有的各种并发症越来越为人所知,它们的影响因素决定了,这可以减少它们的发病率。
结果:一些措施被整合到良好做法的建议中,例如适当选择设备,优先使用最薄的导管,以及用氯己定浸渍的氰基丙烯酸酯胶和敷料。
结论:提高对导致感染和血栓性并发症的现象的认识,以及更好地了解静脉注射装置及其各自适应症之间的差异,应改善院内和院外护理。
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