Midline venous catheters - me nyuam mos

Midline venous catheter yog qhov ntev (3 mus rau 8 ntiv, lossis 7 txog 20 centimeters) nyias, cov yas yas muag muag uas muab tso rau hauv cov ntshav me me. Kab lus no hais txog kev hais lus nruab nrab hauv cov me nyuam mos.

VIM LI CAS YOG MIDLINE VENOUS CATHETER SIV?

Midline venous catheter yog siv thaum cov me nyuam mos xav tau dej IV lossis tshuaj ntau dhau lub sijhawm ntev. IVs xwm yeem tsuas yog kav ntev li 1 mus rau 3 hnub thiab yuav tsum tau hloov ntau zaus. Midline catheters tuaj yeem nyob hauv 2 rau 4 lub lis piam.

Midline kuj tam sim no siv feem ntau ntawm qhov chaw:

• Umbilical catheters, uas yuav muab tso sai sai tom qab yug, tab sis nqa cov kev pheej hmoo
• Cov kab hauv plawv hniav, uas tau muab tso rau hauv txoj hlab ntshav loj ze ntawm lub plawv, tab sis nqa txoj kev pheej hmoo
• Kev txiav cov kab nruab nrab tsis sib xws (PICCs), uas ncav mus ze rau lub siab, tab sis nqa cov kev pheej hmoo

Vim tias cov kws hais nruab nrab nruab nrab ncav tsis cuag dhau lub qhov tso, lawv suav hais tias yog kev nyab xeeb dua. Txawm li cas los xij, tej zaum yuav muaj qee qhov tshuaj IV uas tsis tuaj yeem xa tawm los ntawm cov kab nruab nrab nruab nrab. Tsis tas li, kev pheej hmoo ncau cov ntshav tsis tau qhia los ntawm cov kab nruab nrab nruab nrab, zoo ib yam li feem ntau ntawm cov leeg ntshav.

YUAV UA LI CAS MIDLINE CATHETER PLACED LI CAS?

Ib txoj kab nruab nrab kab sib txuas yog ntxig rau hauv cov leeg ntawm caj npab, ceg, lossis qee zaus, tawv taub hau ntawm cov me nyuam mos.

Tus kws kho mob yuav:

• Muab tus menyuam tso rau ntawm lub rooj kuaj
• Tau txais kev pab los ntawm lwm cov neeg kawm ua haujlwm uas yuav pab kom nyob kaj siab thiab nplij menyuam tau
• Numb thaj chaw uas cov raj yas yuav muab tso rau
• Tu tus menyuam daim tawv nqaij kom zoo ua tshuaj tua kabmob (antiseptic)
• Ua qhov phais me me thiab muab ib rab koob tso rau hauv txoj hlab ntshav me rau sab caj npab, ceg, lossis tawv taub hau
• Tso cov kab nruab nrab kab uas hla ntawm rab koob rau hauv txoj hlab ntshav loj dua thiab tshem rab koob
• Qhwv thaj chaw uas tus kws saib xyuas cov hniav tau muab tso rau

Dab tsi yog Qhov pheej hmoo ua ntawm MIDLINE CATHETER PLACED?

Kev phom sij ntawm midline venous catheterization:

• Kab mob. Txoj kev pheej hmoo yog me me, tab sis nce ntev dua ntawm txoj kab nruab nrab txoj kev sib txuas hauv qhov chaw.
• Los ntshav thiab doog ntshav ntawm thaj chaw ntxig.
• Kev mob ntawm cov hlab ntshav (phlebitis).
• Kev tsiv ntawm lub raj yas tawm ntawm qhov chaw, txawm tias tawm ntawm txoj hlab ntsha.
• Kev xau dej tawm hauv cov raj xa dej mus rau hauv cov nqaij yuav ua rau o thiab liab.
• Kev txhawm ntawm cov raj yas rau hauv cov leeg ntshav (muaj tsawg tsawg).

Medial venous catheter - menyuam mos liab; MVC - cov menyuam mos liab; Midline catheter - mos liab; ML catheter - mos liab; ML - cov menyuam mos

Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob lub vev xaib. Cov lus qhia rau kev tiv thaiv ntawm cov hlab ntsws sib kis mob (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Hloov kho Lub Xya Hli 2017. Nkag mus Lub Xya Hli 30, 2020.

Chenoweth KB, Guo J-W, Chan B. Txoj kev txuas lub tsev nyob txuas mus txuas ntxiv yog txoj kev qhia ntawm NICU txoj kev nkag mus rau cov leeg. Kev Pab Tu NeonatalCov. 2018; 18 (4): 295-301. PMID: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

Witt SH, Carr CM, Krywko DM. Khoom siv hauv vascular nkag: cov khoom siv thaum muaj xwm ceev thiab kev tswj hwm. Hauv: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts thiab Hedges 'Cov Txheej Txheem Chaw Kho Mob hauv Xwm Ceev Kho Mob thiab Mob Zoo MobCov. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 24.