摘要
迷你中线导管是一项导管置入的新技术,开拓了外周静脉血管通路装置(PVAD)的新领域,在血管脆弱和困难静脉通路(DIVA)的患者静脉治疗中发挥重要作用。迷你中线导管比中线导管更经济且更容易穿刺,较短套管留置时间更长、导管相关并发症更低,是中短期输液中静脉血管通路装置(VAD)的优选方案,在国外已广泛应用于静脉输液。国内对该技术的相关研究和应用处于探索阶段,尚未发布针对迷你中线导管的规范、指南和专家共识,缺少规范的操作流程、适应证、禁忌证等指引,有待开展更多、更高质量和多中心联动合作的研究,为制定符合临床实际的迷你中线导管行业标准提供理论和实践依据。综述迷你中线导管的定义、属性、创新性、适应证及优缺点,为临床应用提供参考。
The mini-midline catheter is a new technology for catheter placement that opens up a new field of peripheral venous access devices(PVADs)and plays an important role in the intravenous treatment of patients with fragile vasculature and difficult intravenous access(DIVA).Mini-midline catheter is more economical and easier to puncture than midline catheter,longer retention time than short cannula,lower catheter-related complications,it is the preferred solution for venous vascular access device(VAD)in short-to medium-term infusion and has been widely used in intravenous infusion abroad.Domestic research and application of this technology are still in the exploratory stage,and the specifications,guidelines and expert consensus for mini midline catheters have not yet been released,and there is a lack of standardized operation procedures,indications,contraindications and other guidelines.More studies with higher quality and multi-center linkage cooperation need to be carried out to provide a theoretical and practical basis for the formulation of industry standards for mini midline catheters in line with clinical practice.The definition,attributes,innovation,indications,advantages and disadvantages of the mini midline catheter were reviewed,so as to provide reference for clinical application.
作者
向静
陈博春
赖声晓
张明君
刘龙龙
梁熙德
Xiang Jing;Chen Bochun;Lai Shengxiao;Zhang Mingjun;Liu longlong;Liang Xide(Department of Intravenous Therapy Nursing Clinic,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China;School of Nursing,Guangzhou Medical University,Guangzhou 510182,China;Guangzhou Institute of Respiratory Health,Department of Respiratory,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China;Department of Radiation Oncology,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China;Department of Hematology,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China)
出处
《中国医学装备》
2024年第11期157-162,共6页
China Medical Equipment
基金
国家自然科学基金项目(82370170)
广东省医学科研基金项目(B2024313)。