纤维鞘技术在肠衰竭患者交换中心静脉导管中的应用。

IF 2.6 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2025-05-28 DOI:10.1016/j.clnesp.2025.05.040

Naoki Hashizume , Akihiro Fujino , Kotaro Tomonaga , Genta Ozeki , Takeshi Saito , Michimasa Fujiogi , Motohiro Kano , Yuki Yamamoto , Tetsuya Ishimaru , Akihiro Yoneda , Yutaka Kanamori

{"title":"纤维鞘技术在肠衰竭患者交换中心静脉导管中的应用。","authors":"Naoki Hashizume , Akihiro Fujino , Kotaro Tomonaga , Genta Ozeki , Takeshi Saito , Michimasa Fujiogi , Motohiro Kano , Yuki Yamamoto , Tetsuya Ishimaru , Akihiro Yoneda , Yutaka Kanamori","doi":"10.1016/j.clnesp.2025.05.040","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>Patients with intestinal failure (IF) are dependent on tunneled central venous catheters (CVC) to provide parenteral nutrition. A method using a fibrous sheath (FS) was developed to preserve the central venous routes while exchanging CVC. We focused on the reduction of punctured catheter insertions for the FS method.</div></div><div><h3>Methods</h3><div>Patients with IF were divided into two groups. The n-FS group was comprised of patients who underwent primary insertion CVC only for the exchange CVC. The FS group was comprised of patients treated using the FS method. Patients diagnosed with CRBSI without septic shock received ethanol lock therapy. Outcomes included CVC durability days during the catheter insertion and primary punctured catheter insertion.</div></div><div><h3>Results</h3><div>Twenty patients with IF were treated. Seven patients were classified into the n-FS group and 13 patients were in FS group. Total number of CVC replacements of n-FS group and FS group were 27 and 43. Eighteen CVC replacements were used by FS method. The overall FS success rate was 100 %. The CVC replacements per 1000 days was not significantly different between the two groups. The primary punctured catheter insertion was significantly lower in FS group compared with in n-FS group.</div></div><div><h3>Conclusion</h3><div>Our results suggest that the FS method reduces primary punctured catheter insertion.</div></div>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"68 ","pages":"Pages 465-469"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fibrous sheath technique for exchanging tunneled central venous catheters in intestinal failure patients\",\"authors\":\"Naoki Hashizume , Akihiro Fujino , Kotaro Tomonaga , Genta Ozeki , Takeshi Saito , Michimasa Fujiogi , Motohiro Kano , Yuki Yamamoto , Tetsuya Ishimaru , Akihiro Yoneda , Yutaka Kanamori\",\"doi\":\"10.1016/j.clnesp.2025.05.040\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>Patients with intestinal failure (IF) are dependent on tunneled central venous catheters (CVC) to provide parenteral nutrition. A method using a fibrous sheath (FS) was developed to preserve the central venous routes while exchanging CVC. We focused on the reduction of punctured catheter insertions for the FS method.</div></div><div><h3>Methods</h3><div>Patients with IF were divided into two groups. The n-FS group was comprised of patients who underwent primary insertion CVC only for the exchange CVC. The FS group was comprised of patients treated using the FS method. Patients diagnosed with CRBSI without septic shock received ethanol lock therapy. Outcomes included CVC durability days during the catheter insertion and primary punctured catheter insertion.</div></div><div><h3>Results</h3><div>Twenty patients with IF were treated. Seven patients were classified into the n-FS group and 13 patients were in FS group. Total number of CVC replacements of n-FS group and FS group were 27 and 43. Eighteen CVC replacements were used by FS method. The overall FS success rate was 100 %. The CVC replacements per 1000 days was not significantly different between the two groups. The primary punctured catheter insertion was significantly lower in FS group compared with in n-FS group.</div></div><div><h3>Conclusion</h3><div>Our results suggest that the FS method reduces primary punctured catheter insertion.</div></div>\",\"PeriodicalId\":10352,\"journal\":{\"name\":\"Clinical nutrition ESPEN\",\"volume\":\"68 \",\"pages\":\"Pages 465-469\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-05-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical nutrition ESPEN\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2405457725003377\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical nutrition ESPEN","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405457725003377","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}

引用次数: 0

摘要

目的：肠衰竭（IF）患者依赖于隧道中心静脉导管（CVC）提供肠外营养。我们开发了一种使用纤维鞘（FS）在交换CVC时保留中心静脉通路的方法。我们专注于减少FS方法的穿刺导管插入。方法：将IF患者分为两组。n-FS组由仅为交换CVC而接受初始插入CVC的患者组成。FS组为采用FS方法治疗的患者。诊断为CRBSI且无感染性休克的患者接受乙醇锁定治疗。结果包括导管插入时CVC持续天数和初次穿刺导管插入时CVC持续天数。结果：20例IF患者均得到治疗。n-FS组7例，FS组13例。n-FS组和FS组CVC置换总数分别为27例和43例。采用FS法置换18例CVC。FS总体成功率为100%。每1000天CVC替换量在两组间无显著差异。与n-FS组相比，FS组一次穿刺置管率明显降低。结论：我们的结果表明，FS方法减少了一次穿刺导管的插入。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Fibrous sheath technique for exchanging tunneled central venous catheters in intestinal failure patients

Purpose

Patients with intestinal failure (IF) are dependent on tunneled central venous catheters (CVC) to provide parenteral nutrition. A method using a fibrous sheath (FS) was developed to preserve the central venous routes while exchanging CVC. We focused on the reduction of punctured catheter insertions for the FS method.

Methods

Patients with IF were divided into two groups. The n-FS group was comprised of patients who underwent primary insertion CVC only for the exchange CVC. The FS group was comprised of patients treated using the FS method. Patients diagnosed with CRBSI without septic shock received ethanol lock therapy. Outcomes included CVC durability days during the catheter insertion and primary punctured catheter insertion.

Results

Twenty patients with IF were treated. Seven patients were classified into the n-FS group and 13 patients were in FS group. Total number of CVC replacements of n-FS group and FS group were 27 and 43. Eighteen CVC replacements were used by FS method. The overall FS success rate was 100 %. The CVC replacements per 1000 days was not significantly different between the two groups. The primary punctured catheter insertion was significantly lower in FS group compared with in n-FS group.

Conclusion

Our results suggest that the FS method reduces primary punctured catheter insertion.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.