Redo sternotomy in pediatric patients can be complicated due to the unsuitability of many arterial cannulation sites for the pediatric population. Innominate artery cannulation provides a safe and easily reproducible ...Redo sternotomy in pediatric patients can be complicated due to the unsuitability of many arterial cannulation sites for the pediatric population. Innominate artery cannulation provides a safe and easily reproducible alternative and prevents many of the disadvantages seen in femoral and axillary artery cannulation. Its use in pediatric cardiac surgery has seen a rise [1]. Herein, we describe the technique for innominate artery cannulation in pediatric patients undergoing redo sternotomy and review our experience with the technique.展开更多
文摘Redo sternotomy in pediatric patients can be complicated due to the unsuitability of many arterial cannulation sites for the pediatric population. Innominate artery cannulation provides a safe and easily reproducible alternative and prevents many of the disadvantages seen in femoral and axillary artery cannulation. Its use in pediatric cardiac surgery has seen a rise [1]. Herein, we describe the technique for innominate artery cannulation in pediatric patients undergoing redo sternotomy and review our experience with the technique.
文摘目的评价安全型静脉留置针对医护人员职业暴露的防护效果。方法计算机检索Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、Pub Med、EMbase、CBMdisc等数据库中关于安全型和非安全型留置针对于职业暴露防护的临床对照试验。采用Cochrane Handbook(5.1.0)对文献质量进行评价,Rev Man 5.1.0对资料进行meta分析。结果共纳入3项RCT和4项CCT。7项研究结果显示安全型留置针能降低针刺伤的发生率,但医护人员血液暴露风险增加(4项研究)、异常回血发生率较高(3项研究)、撤针芯失败发生率(2项研究)较高;4项研究结果显示一次性穿刺成功率两者无差异。结论安全型留置针能降低针刺伤的发生,但是血液暴露、回血异常发生率增高。目前尚无足够证据表明安全型留置针降低一次性的穿刺成功率。由于评价指标主观性及指标间标准的异质性,尚需更多设计严谨的具有统一客观指标的研究对安全型留置针的职业暴露的防护效果进行进一步评价。
