Hoʻokomo pākahi ʻia ka catheter waena - nā pēpē

ʻO kahi catheter kikowaena i hoʻokomo pono ʻia (PICC) kahi lōʻihi lōʻihi, lahilahi a palupalu ia i hoʻokomo ʻia i loko o kahi kīʻaha koko liʻiliʻi a hiki i ka hohonu i kahi kīʻaha koko nui aʻe. Kuhi kēia ʻatikala i nā PICC i loko o nā pēpē.

NO KA MEA I PICC AI AI?

Hoʻohana ʻia kahi PICC ke makemake ka pēpē i nā wai IV a i ʻole ka lāʻau i loko o kahi manawa lōʻihi. ʻO nā IV maʻamau wale nō ma hope o 1 a 3 mau lā a pono e hoʻololi ʻia. Hiki i kahi PICC ke noho i loko no 2 a 3 mau wiki a ʻoi aku paha.

Hoʻohana pinepine ʻia ʻo PICC i nā pēpē ma mua hiki ʻole ke hānai no ka pilikia o ka ʻōpū a i ʻole pono ka lāʻau IV no ka manawa lōʻihi.

PEHEA KA PICC E NOHO AI?

E mālama ka mea mālama ola:

• Hāʻawi i ka pēpē maʻi ʻeha.
• E hoʻomaʻemaʻe i ka ʻili o ka pēpē me kahi lāʻau make-germ (antiseptic).
• E hana i kahi ʻoki ʻoki liʻiliʻi a kau i kahi kui kolo i loko o kahi aa liʻiliʻi ma ka lima a me ka wāwae.
• E neʻe i ka PICC ma o ke kui kele i ke aa nui (kikowaena), e hoʻokau ana i kona piko kokoke (akā ʻaʻole i loko) ka puʻuwai.
• Lawe i kahi hihi e hoʻonoho ai i ka nila.
• Wehe i ke kui kele ma hope o ke kau ʻana o ka catheter.

He aha nā pilikia o ka loaʻa ʻana i kahi PICC i kau ʻia?

• Pono paha ka hui mālama ola e hoʻāʻo hou ma mua o hoʻokahi manawa e waiho i ka PICC. I kekahi mau hihia, ʻaʻole hiki i ka PICC ke hoʻonohonoho pono a pono i kahi ʻano lāʻau ʻē aʻe.
• Aia kekahi mea liʻiliʻi no ka maʻi. ʻO ka lōʻihi o ka PICC ma kahi, ʻo ka nui o ka makaʻu.
• I kekahi manawa, hoʻopau ka catheter i ka paia kīʻaha koko. Hiki i ka wai IV a lāʻau paha ke lele i loko o nā wahi kokoke o ke kino.
• He mea liʻiliʻi loa, hiki i ka PICC ke hoʻopau i ka paia o ka puʻuwai. Hiki i kēia ke kumu i ke kahe nui a me ka hana puʻuwai maikaʻi ʻole.
• Kākaʻikahi loa ka haki o ka catheter ma loko o ke kīʻaha koko.

PICC - pēpē; PQC - pēpē; Laina Pic - pēpē; Per-Q cath - nā pēpē

Pasala S, Storm EA, Stroud MH, a me al. Loaʻa i nā vascular Pediatric a me nā kenekulia. I: Fuhrman BP, Zimmerman JJ, eds. Mālama Nui ʻo Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 19.

ʻO Santillanes G, Claudius I. Hiki i nā vaskular a me nā ʻenehana laʻana koko. I: Roberts J, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 19.

Nā Kōmike Aʻoaʻo Hoʻohālikelike Kīwī maʻi maʻi ʻo ʻAmelika Hui Pū ʻIa. Nā kulekele 2011 no ka pale ʻana i nā maʻi e pili ana i ka catheter intravaskular. www.cdc.gov/infectioncontrol/pdf/guidelines/bsi-guidelines-H.pdf. Hoʻohou ʻia ʻOkakopa 2017. Loaʻa iā ʻOkakopa 24, 2019.