血管通路:选择哪一种?少即是多,或多或少

Q4 Biochemistry, Genetics and Molecular Biology
Regina Frontera, M. Barone
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引用次数: 0

摘要

在医院护理管理的背景下,输液疗法的需求涉及到适当设备的选择。从历史上看,尽管由于可怕的并发症和不容忽视的血液感染率,文献中的数据似乎倾向于外周血管通路,但对于血管通路的偏好并没有达成共识。确实,中心路线的决定有时取决于患者的一般临床状况(尤其是手术结果)或建立持续的短期或长期支持疗法的需要。因此,倾向于一种战略而不是另一种战略似乎是不合时宜的。可能应该审查数据,考虑和评估静脉通路定位和管理的适应症和指南的正确应用,而不会面临可能导致稀少和不确定结果的方法偏差;尽管不可否认的是,某些情况会促进并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vascular accesses: Which choice? Less is more, more or less
In the context of in-hospital care management, the need for infusion therapies involves the choice of appropriate devices. Historically, there is no consensus about the preference for vascular accesses, although the data present in the literature would seem to favor peripheral ones due to fearful complications and a non-negligible rate of bloodstream infections. It is also true the decision for central routes is sometimes dictated by the patient’s general clinical conditions (especially as a result of surgery) or by the need to establish continuous short or long-term support therapies. Therefore, it would seem anachronistic to favor one strategy rather than another. Probably data should be reviewed, considering and evaluating the correct application of indications and guidelines for both positioning and management of venous accesses, without facing methodological biases that could lead to scarcy and inconclusive results; although it is undeniable that some conditions promote the onset of complications.
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来源期刊
CiteScore
2.10
自引率
0.00%
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0
审稿时长
13 weeks
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