Iicathet venous venline - iintsana

I-catheter ye-venous ye-midline yinde (i-intshi ezi-3 ukuya kwezi-8, okanye iisentimitha ezi-7 ukuya kwezingama-20) ityhubhu encinci, ethambileyo yeplastiki efakwa kwisitya esincinci segazi. Eli nqaku libhekisa kwi-midline catheters kwiintsana.

KUTHENI KUSETYENZISWA I-MIDLINE CATHETER ETHILE?

I-catheter ye-venous esembindini isetyenziswa xa usana lufuna ulwelo lwe-IV okanye amayeza ixesha elide. Ii-IVs eziqhelekileyo zihlala kuphela iintsuku ezi-1 ukuya kwezi-3 kwaye kufuneka zitshintshwe rhoqo. I-Midline catheters inokuhlala iiveki ezi-2 ukuya kwezi-4.

I-Midline catheters ngoku zihlala zisetyenziswa endaweni:

• Iicathet ze Umbilical, ezinokuthi zibekwe kwakamsinya emva kokuzalwa, kodwa zinobungozi
• Imigca ye-venous esembindini, ebekwe kumthambo omkhulu kufutshane nentliziyo, kodwa inobungozi
• I-catheters (i-PICCs) efakwe ngesandla, efikelela kufutshane nentliziyo, kodwa inemingcipheko

Ngenxa yokuba iicathetter zangaphakathi zingafikeleli ngaphaya kwekhwapha, zithathwa njengezikhuselekileyo. Nangona kunjalo, kunokubakho amayeza e-IV angenakuhanjiswa nge-midline catheter. Kwakhona, ukutsalwa kwegazi kwesiqhelo akucetyiswa ukusuka kwi-catheter esembindini, ngokuchaseneyo neendidi eziphambili zecatheters zemithambo.

IFAKWA NJANI I-MIDLINE CATHETER?

I-catheter esembindini ifakwe kwimithambo yengalo, yomlenze, okanye, ngamanye amaxesha, isikhumba sentloko sosana.

Umboneleli wezempilo uya:

• Beka usana phezu kwetafile yoviwo
• Fumana uncedo kwabanye abasebenzi abaqeqeshiweyo abaya kunceda ukuzola kunye nokuthuthuzela usana
• Bamba indawo apho i-catheter iya kubekwa khona
• Coca ulusu lwentsana ngamayeza okubulala iintsholongwane (isinqanda-kubola)
• Yenza ukusika okuncinci kwaye ubeke inaliti engenamngxunya kumthambo omncinci engalweni, emlenzeni, okanye entlonzeni
• Beka i-catheter ye-midline ngokusebenzisa inaliti kwi-vein enkulu kwaye ususe inaliti
• Bandage indawo apho i-catheter ibekwe khona

ZIYIPHI IINGOZI ZOKUBA NOKUFUNDA I-MIDLINE CATHETER?

Umngcipheko we-catheterization yangaphakathi ye-venous:

• Usulelo. Umngcipheko mncinci, kodwa uyonyusa ukuba i-midline catheter ihlale endaweni.
• Ukopha kunye nokugruzuka kwindawo yokufakwa.
• Ukudumba umthambo (phlebitis).
• Ukuhamba kwe-catheter ngaphandle kwendawo, nokuba kuphuma emthanjeni.
• Ukuvuza kwamanzi kwi-catheter ukuya kwizicwili kunokukhokelela ekudumbeni nasekubomvu.
• Ukuqhekeka kwe-catheter ngaphakathi kwe-vein (kunqabile kakhulu).

I-catheter ye-venous venous-iintsana; I-MVC - iintsana; I-catheter ye-Midline - iintsana; I-ML catheter - iintsana; ML - iintsana

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Izikhokelo zokuthintela usulelo olunxulumene ne-catheter enxulumene ne-intravascular (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Ukuhlaziywa ngoJulayi 2017. Ifikeleleke ngoJulayi 30, 2020.

I-Chenoweth KB, i-Guo JW, i-Chan B. Indawo eyandisiweyo yokuhlala ngaphakathi kwi-catheter engenye yenye yeendlela zokungena ngaphakathi kwe-NICU. Unonophelo Lwabantwana Abakhulelweyo. 2018; 18 (4): 295-301. IINKCUKACHA: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

Witt SH, uCarr CM, Krywko DM. Ukuhlala kwezixhobo zokufikelela kwimithambo: ukufikelela kungxamiseko kunye nolawulo. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 24.