新生儿中央锁骨下置管:单中心经验

IF 0.3 Q4 PEDIATRICS Journal of Child Science Pub Date : 2022-01-01 DOI:10.1055/s-0041-1741425
S. Gurel, A. Gözen, M. Bektas
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引用次数: 0

摘要

我们这篇文章的主要目的是表明中心静脉导管(CVC)可以是一种易于使用,不太复杂的导管应用,如外周插入中心导管和脐带导管放置在新生儿重症监护病房。我们在此描述我们锁骨下静脉置管的经验。通过锁骨下中心置管进行静脉通路的新生儿回顾性评估。收集了孕周、置管时的年龄、出生体重和性别等数据。此外,还记录了住院期间与导尿有关的问题。本研究纳入40例新生儿,男22例,女18例,平均妊娠周29.57±3.80周,平均妊娠体重2067.50±545.97 g。由于阻塞,5例换导管2次,3例换导管1次,共对40例新生儿进行53次置管。我们的病人都没有气胸或血胸。术后第8天和第21天,2例(5%)患者因导管感染撤管,两例患者导管培养均为凝固酶阴性金黄色葡萄球菌。即使在早产儿中,锁骨下中心静脉置管是一种安全而直接的技术,可以在新生儿重症监护病房的专家手中获得静脉通道。
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Central Subclavian Catheterization in Newborns: Single-Center Experience
Our main aim of this article was to show that central venous catheter (CVC) can be an easy-to-use, less-complicated catheter application such as peripherally inserted central catheter and umbilical catheter placement in the neonatal intensive care unit. We here described our experience with subclavian vein catheterization. Neonates who had venous access through subclavian central catheterization were assessed retrospectively. Data such as gestational age, age at the time of catheter insertion, birth weight, and gender were collected. In addition, problems related to catheterization during hospitalization were documented. This study comprised 40 newborns, 22 male and 18 female, with a mean gestational week of 29.57 ± 3.80 weeks and a mean gestational weight of 2067.50 ± 545.97 g. Due to occlusion, catheters were switched in five cases twice and in three cases once, totaling 53 catheterizations on 40 newborns. None of our patients had pneumothorax or hemothorax. On the postoperative 8th and 21st days, the catheter was withdrawn due to catheter infection in two (5%) patients, and catheter cultures revealed coagulase negative Staphylococcus aureus in both cases. Even in preterm infants, subclavian central venous catheterization is a safe and straightforward technique of gaining venous access in expert hands in the neonatal intensive care unit.
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
19
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