Tso cov menyuam nruab nrab pov tseg - cov menyuam mos

Ib txoj kab me me uas tso rau hauv cov raj xa dej (PICC) yog cov yas ntev, me me, yas uas tau tso rau hauv cov hlab ntshav me thiab nkag mus tob rau hauv cov hlab ntshav loj dua. Kab lus no hais txog PICCs hauv cov menyuam yaus.

VIM LI CAS YOG PICC SIV?

PICC siv thaum tus menyuam xav tau dej IV lossis haus tshuaj ntev mus ntev. IVs li niaj hnub tsuas kav 1 mus rau 3 hnub thiab yuav tsum tau hloov. Daim PICC tuaj yeem nyob hauv 2 rau 3 lub lim tiam lossis ntev dua.

PICC feem ntau siv rau cov menyuam yaus uas yug ntxov uas tsis tuaj yeem noj vim tias muaj teeb meem hnyuv lossis cov neeg xav tau tshuaj IV mus ntev.

YUAV UA LI CAS PICC PLACED?

Tus kws kho mob yuav:

• Muab tshuaj rau qhov mob rau me nyuam.
• Tu tus menyuam daim tawv nqaij kom zoo ua tshuaj tua kab mob (antiseptic).
• Ua qhov kev phais me me thiab muab ib rab koob tso rau hauv txoj hlab ntshav me rau sab caj npab lossis txhais ceg.
• Txav mus rau PICC los ntawm rab koob mus rau hauv qhov loj dua (nruab nrab) cov hlab ntsha, tso nws lub taub nyob ze (tab sis tsis nyob hauv) lub siab.
• Coj xoo hluav taws xob los tso lub koob.
• Tshem tawm rab koob tom qab catheter tso.

PHEEJ HMOO UA PHEM RAU KEV PICC PLACED YOG DAB TSI?

• Pab neeg saib xyuas kev noj qab haus huv yuav tau sim ntau dua ib zaug tso PICC. Muaj qee kis, PICC tsis tuaj yeem ua haujlwm tau zoo thiab yuav tsum tau siv lwm txoj kev kho txawv.
• Muaj kev pheej hmoo me me rau kev kis tus kab mob. Lub sijhawm ntev dua PICC nyob rau hauv qhov chaw, qhov kev pheej hmoo ntau dua.
• Qee zaum, cov catheter yuav hnav mus rau ntawm cov hlab ntshav phab ntsa. Tshuaj dej IV lossis tshuaj tuaj yeem nqus mus rau thaj chaw ze ntawm lub cev.
• Tsis tshua muaj neeg pom, PICC tuaj yeem hnav ntawm phab ntsa ntawm lub plawv. Qhov no tuaj yeem ua rau ntshav los ntshav thiab lub plawv tsis zoo.
• Tsawg tsawg zaus, cov catheter yuav tawg nyob rau hauv cov hlab ntshav.

PICC - cov menyuam mos liab; PQC - cov menyuam mos liab; Pic kab - cov menyuam mos liab; Per-Q cath - me nyuam mos

Pasala S, Cua daj EA, Stroud MH, li al. Kev saib xyuas cov leeg ntshav thiab thaj chaw. Hauv: Fuhrman BP, Zimmerman JJ, eds. Kev Saib Xyuas Menyuam YausCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2017: chap 19.

Santillanes G, Claudius I. Kev kuaj ntshav thiab kuaj ntshav kom ntshav thiab ntshav siv. Hauv: Roberts J, Custalow CB, Thomsen TW, eds. Roberts thiab Hedges 'Cov Txheej Txheem Kev Siv Hauv Chaw Kho Mob Xwm CeevCov. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 19.

Tebchaws Asmeskas Cov Chaw Tiv Thaiv Kab Mob Kev Noj Qab Haus Huv Txog Kab Mob Kev Tswj Xyuas Kev Tswj Xyuas Tswv Yim. Cov lus qhia xyoo 2011 txog kev tiv thaiv kev tiv thaiv tus mob sib kis catheter-cuam tshuam. www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines-H.pdf. Hloov kho thaum Lub Kaum Hlis 2017. Nkag mus Lub Kaum Hlis 24, 2019.