Nā catheters venous waena - nā pēpē

ʻO ka catheter venous midline kahi lōʻihi (3 a 8 ʻīniha, a i ʻole 7 a 20 mau kenimika) lahilahi, paipu palupalu i hoʻokomo ʻia i loko o kahi kīʻaha koko liʻiliʻi. Kuhi kēia ʻatikala i nā catheters waena o nā pēpē.

No ke aha e hoʻohana ʻia ai kahi CATHETER VENOUS MIDLINE?

Hoʻohana ʻia kahi catheter venous midline ke pono ka pēpē i nā wai IV a i ʻole ka lāʻau i loko o kahi manawa lōʻihi. Kū mau nā IV maʻamau no 1 a 3 mau lā a pono e hoʻololi pinepine ʻia. Hiki i nā catheters waena ke noho i loko no 2 a 4 mau pule.

Hoʻohana pinepine ʻia nā catheters midline ma kahi o:

• ʻO nā catethers Umbilical, kahi e kau ʻia ma hope koke o ka hānau ʻana, akā lawe i nā pilikia
• Nā laina venous waena, i kau ʻia i loko o kahi aa nui kokoke i ka puʻuwai, akā hāpai i nā pilikia
• Hoʻokomo pakahi ʻia nā catheters waena (PICCs), a kokoke i ka puʻuwai, akā hāpai i nā pilikia

Ma muli o ka hiki ʻole o nā catheters midline ma ʻō aku o ka ʻāpana lima, ua manaʻo ʻia he palekana lākou. Eia nō naʻe, aia paha kekahi mau lāʻau IV ʻaʻole hiki ke hāʻawi ʻia ma o ka catheter waena. Eia kekahi, ʻaʻole aʻoaʻo ʻia ke kaha koko maʻamau mai ka catheter midline, i kū ʻole i nā ʻano kikowaena o nā catheters venous.

PEHEA KE PAHI ANA I KA CATHETER MIDLINE?

Hoʻokomo ʻia kahi catheter waena i nā aa o ka lima, ka wāwae, a i ʻole i kekahi manawa, ʻāʻī o ka pēpē.

E mālama ka mea mālama ola:

• E kau i ka pēpē ma ka papa hōʻike
• Loaʻa i ke kōkua mai nā limahana i hoʻomaʻamaʻa ʻē aʻe e kōkua i ka hōʻoluʻolu a me ka hōʻoluʻolu i ka pēpē
• Pōpō i kahi e waiho ai ka catheter
• E hoʻomaʻemaʻe i ka ʻili o ke pēpē me kahi lāʻau hoʻomake hoʻomake (antiseptic)
• E hana i kahi ʻoki ʻoki liʻiliʻi a kau i kahi kui kolo i loko o kahi aa liʻiliʻi ma ka lima, ka wāwae, a i ʻole ka poʻo poʻo
• E kau i ka catheter waena ma waena o ka nila i loko o kahi aa nui a wehe i ka nila
• E hoʻopili i kahi i kau ʻia ai ka catheter

He aha nā pilikia o ka loaʻa ʻana o kahi CATHETER MIDLINEU i hoʻonoho ʻia?

Nā pilikia o ka catheterization venous midline:

• Maʻi kīnā. Liʻiliʻi ka makaʻu, akā hoʻonui i ka lōʻihi o ka catheter waena e noho ma kahi.
• Kahe a me ka ʻeha ma ka pūnaewele o ka hoʻokomo.
• Ka hoʻohaunaele o ke aa (phlebitis).
• ʻO ka neʻe ʻana o ka catheter ma waho o kahi, a ma waho o ka aa.
• ʻO ke kahe ʻana o ka wai mai ka catheter i loko o nā aʻaʻa e alakaʻi i ka pehu a me ka ʻula.
• ʻO ka haki ʻana o ka catheter i loko o ka aa (ʻano liʻiliʻi loa).

Medial venous catheter - pēpē; MVC - pēpē; Catheter waena - nā pēpē; ML catheter - pēpē; ML - pēpē

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Nā ʻōkuhi no ka pale ʻana i nā maʻi e pili ana i nā catheter pili kino (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Hoʻohou i Iulai 2017. Loaʻa iā Iulai 30, 2020.

ʻO Chenoweth KB, Guo J-W, ʻo Chan B. ʻO ka catheter intravenous intravenous noho āpau kahi ala ʻē aʻe o ke komo ʻana i loko o ka NICU. Mālama Neonatal Adv. 2018; 18 (4): 295-301. PMID: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

ʻO Witt SH, Carr CM, Krywko DM. Hoʻopau i nā hāmeʻa komo vascular: ke kōkua pilikia a me ka hoʻokele. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 24.