• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical Sciences >Central venous catheter insertion in critical illness: Techniques and complications
【24h】

Central venous catheter insertion in critical illness: Techniques and complications

机译：严重疾病中的中心静脉导管插入：技术和并发症

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Werner Forssman, in 1929, first described central venous catheter (CVC) insertion when he canalized his own right atrium through the cephalic vein. It is now a routine procedure in critical care. We investigated the pattern of insertion of CVC in our intensive care unit. Patients and Methods: A prospective observational study conducted in a 5-bed general intensive care unit of a 770-bed university teaching hospital. All prospective patients admitted from January 2013 to June 2014 were recruited. The technique, site and complications following insertion were documented. All had postprocedure chest radiography performed to confirm catheter tip position. Results: The most common site and technique of CVC insertion were the right internal jugular vein (IJV) 71 (79.8%), and the anatomic landmark (AL) 66 (74.2%), respectively. The mean catheter depth was significantly shorter in the AL (15.0 ± 2.4) cm than the Peres' formula (16.5 ± 3) cm, P = 0.046. Catheter tips were correctly placed at the carina in 62 (69.7%) patients. The complication rate was 28 (31.5%), which was significantly higher in males 25 (45.5%) than females 3 (8.9%), P = 0.03, and increased by 57.9% with attempts 2. The most common complications were failure to insert 9 (10.1%), right carotid artery puncture (8.9%), and arrhythmias (5.9%). Pneumothorax was reported in (4.5%), all occurred with the subclavian approach. Conclusion: Central venous catheter insertion is more common through the right internal jugular vein, and with the anatomical landmark technique. The complication increased with attempts 2, male gender, and subclavian approach.
机译：背景：维尔纳·福斯曼（Werner Forssman）于1929年首次描述了中央静脉导管（CVC）的插入方法，当时他通过头静脉将自己的右心房导管化。现在，它已成为重症监护的常规程序。我们调查了重症监护病房中CVC的插入方式。患者和方法：前瞻性观察性研究在770张床的大学教学医院的5张床的重症监护病房进行。招募了2013年1月至2014年6月收治的所有预期患者。记录了插入后的技术，部位和并发症。所有患者均进行了术后胸片检查，以确认导管尖端位置。结果：CVC插入的最常见部位和技术分别是右颈内静脉（IJV）71（79.8％）和解剖标志（AL）66（74.2％）。 AL（15.0±2.4）cm处的平均导管深度明显短于Peres公式（16.5±3）cm，P = 0.046。 62位（69.7％）患者的导管尖端正确放置在了隆突上。并发症发生率为28（31.5％），其中男性25（45.5％）明显高于女性3（8.9％），P = 0.03，并且尝试次数> 2时增加了57.9％。最常见的并发症是不能插入9个（10.1％），右颈动脉穿刺（8.9％）和心律不齐（5.9％）。气胸的报告率为（4.5％），全部发生于锁骨下入路。结论：中央静脉导管的插入更常见于右颈内静脉，并采用解剖学界标技术。尝试次数> 2，男性和锁骨下入路的并发症增加。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号