【误解:乳腺癌后静脉穿刺】。

IF 0.3 4区 医学 Q4 ANESTHESIOLOGY
Christina Massoth, Carl Opitz, Manuel Wenk
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引用次数: 0

摘要

乳腺癌是世界上最常诊断的肿瘤疾病之一。及时发现和先进的多模式治疗策略显著提高了10年生存率。因此,乳腺癌幸存者经常出席与癌症无关的手术。这挑战了完全避免同侧静脉导管置入或血压测量的历史实践。虽然这一教条是从这些干预措施可能增加乳腺癌相关淋巴水肿风险的信念演变而来的,但现在越来越多的证据已经证明了事实并非如此。同侧静脉穿刺和置管与移行肢体肿胀或持续性水肿并发症的增加无关,因此同侧手术无禁忌。有必要对患者和提供者进行教育,以澄清这一长期存在的误解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Myth: Venipuncture after Breast Carcinoma].

Breast cancer ranges among the most commonly diagnosed oncological diseases worldwide. Strategies of timely detection and advanced multimodal therapies have significantly improved 10-year survival rates. Hence, breast cancer survivors regularly present for non-cancer related procedures. This challenges the historical practice of complete avoidance of ipsilateral venous catheter placement or blood pressure measurements. While this dogma has evolved from the belief these interventions might increase the risk of breast-cancer related lymphedema, a growing body of evidence has now proven otherwise. Ipsilateral venipunctures and catheters are not associated with increased complications of transitional limb swelling or persistent edema and ipsilateral procedures are therefore not contraindicated. Education of patients and providers are necessary to clarify on this long-standing myth.

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来源期刊
CiteScore
0.80
自引率
25.00%
发文量
115
审稿时长
6-12 weeks
期刊介绍: AINS ist die Fachzeitschrift für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie im Georg Thieme Verlag. Sie vermittelt aktuelles Fachwissen und bietet Fortbildung. AINS hat sich das Ziel gesteckt, den Leserinnen und Lesern – Fachärzten und Weiterbildungsassistenten in der Anästhesiologie – immer praxisbezogenen Nutzwert und größtmögliche Unterstützung zu bieten.
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