麻醉安全与质控2017，Vol.1Issue(2)：77-80,4.
降低深静脉置管并发症的系统化措施
A systemic approach to reduce central line related complications
汤文喜 1张转 2史成梅 3黄佳鹏4
作者信息
- 1. 山东大学齐鲁医院(青岛)麻醉科,山东 青岛266035
- 2. 扬州大学附属医院扬州市第一人民医院麻醉科,江苏 扬州225001
- 3. 北京大学第三医院麻醉科,北京 100191
- 4. 路易斯维尔大学麻醉暨围术期医学科,肯塔基州 路易斯维尔 40202
- 折叠
摘要
Abstract
Central lines have been utilized widely in clinical practices, however, complications from placement or maintenance occur frequently.Real time ultrasound guidance during placement has been shown to reduce complications and improve success rate.The oblique method has the advantages of simultaneous display of both artery and vein, and the ability to follow the full length of needle.Central line related infections could cause sepsis, osteomyelitis, endocarditis and death.Strict adherence of Center for Disease Control and Prevention's central line bundle management could significantly reduce central line related infections.It is recommended to count instruments after placement to include at least the needle, dilator and guidewire, to reduce the likelihood of retained wires.In summary, we should use real time ultrasound guidance, bundle management and instrument counting to systemically reduce central line related complications.关键词
深静脉置管/感染/并发症/超声引导Key words
central line/infection/complication/ultrasound guidance引用本文复制引用
汤文喜,张转,史成梅,黄佳鹏..降低深静脉置管并发症的系统化措施[J].麻醉安全与质控,2017,1(2):77-80,4.
