Midline venous catheters - vacheche

Iyo yepakati yepakati venous catheter yakareba (3 kusvika 8 inches, kana 7 kusvika 20 masentimita) yakatetepa, yakapfava epurasitiki chubhu inoiswa mune diki reropa tsinga. Ichi chinyorwa chinotaurira midline catheters muvacheche.

NEI MIDLINE VENOUS CATHETER ICHISHANDISWA?

Catheter yepakati yepakati inoshandiswa kana mucheche achida IV mvura kana mushonga kwenguva yakareba. Yakajairwa IVs inongogara kwe1 kusvika kumazuva matatu uye inoda kuchinjwa kazhinji. Midline catheters anogona kugara mukati memavhiki maviri kusvika mana.

Midline catheters izvozvi zvinowanzo shandiswa panzvimbo ye:

• Umbilical catheters, ayo anogona kuiswa achangoberekwa, asi ane njodzi
• Pakati pehutachiona mitsetse, inoiswa mune hombe tsinga padyo nemoyo, asi inotakura njodzi
• Percutaneously yakaiswa pakati catheters (PICCs), iyo inosvika padyo nemoyo, asi iine njodzi

Nekuti midline catheters haisviki kupfuura muhapwa, vanoonekwa sevakachengeteka. Nekudaro, panogona kuve nemimwe mishonga yeIV isingakwanise kuendeswa kuburikidza nekateti yepakati. Zvakare, kuwedzerwa kweropa kudhiraina hazvikurudzirwe kubva pakati yepakati catheter, kupesana neiyo yepakati mhando dzenzou catheters.

MUTAURO WE MIDLINE INOITWA SEI?

Catheter yepakati inoiswa mutsinga dzeruoko, gumbo, kana, dzimwe nguva, ganda remusoro wecheche.

Anopa hutano anozo:

• Isa mucheche patafura yekuongorora
• Gamuchira rubatsiro kubva kune vamwe vashandi vakarovedzwa vanozobatsira kudzikamisa nekunyaradza mucheche
• Ratidza nzvimbo iyo catheter ichaiswa
• Chenesa ganda remucheche nemushonga unouraya utachiona (antiseptic)
• Gadzira chidimbu chidiki chekuvhiya woisa tsono isina mhodzi mutsinga diki muruoko, gumbo, kana ganda romusoro
• Isa iyo midline catheter kuburikidza netsono kupinda mutsinga yakakura uye bvisa tsono
• Bhanhire iyo nzvimbo yakaiswa catheter

NDEZVIPI ZVINGOZI ZVOKUVA NEMAHARA MIDLINE CATHETER ZVAKAISWA?

Ngozi dze midline venous catheterization:

• Utachiona. Njodzi idiki, asi inowedzera iyo yakareba iyo yepakati midha catheter inogara munzvimbo.
• Kubuda ropa nekupwanya panzvimbo yekuiswa.
• Kuzvimba kweiyo tsinga (phlebitis).
• Kufamba kwecatheter kubva panzvimbo, kunyangwe kunze kweiyo tsinga.
• Mvura inodonha kubva ku catheter kupinda munyama inogona kutungamira kuzvimba uye kutsvuka.
• Kutyora catheter mukati mutsinga (zvisingawanzoitika).

Kati venous catheter - vacheche; MVC - vacheche; Midline catheter - vacheche; ML catheter - vacheche; ML - vacheche

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Nhungamiro yekudzivirira kwehutachiona hwehutachiona hwehutachiona (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Yakagadziridzwa Chikunguru 2017. Yakasvika muna Chikunguru 30, 2020.

Chenoweth KB, Guo JW, Chan B. Iyo yakawedzerwa kugara mukati mekunze intravenous catheter ndiyo imwe nzira yeNICU inopinza kupinda. Adv Neonatal Kuchengeta. 2018; 18 (4): 295-301. PMID: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

Witt SH, Carr CM, Krywko DM. Kugara midziyo yevascular yekuwana: kuwana nekukurumidza uye manejimendi. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 24.