Ama-catheters we-midline venous - izinsana

I-catheter ye-venous midline yinde (3 kuya ku-8 amayintshi, noma amasentimitha ayi-7 kuye kwangama-20) ithumbu lepulasitiki elithambile elifakwa emthanjeni omncane wegazi. Lo mbhalo ukhuluma ngama-midline catheters ezinganeni.

KUNGANI Kusetshenziswa i-MIDLINE CATHETER VENOUS CATHETER?

I-catheter ye-venous midline isetshenziswa lapho usana ludinga uketshezi lwe-IV noma umuthi isikhathi eside. Ama-IV ajwayelekile ahlala izinsuku ezi-1 kuya kwezi-3 kuphela futhi adinga ukushintshwa kaningi. Ama-catheters akwa-Midline angahlala amasonto amabili kuya kwamane.

Ama-catheters aseMidline manje asetshenziswa kaningi esikhundleni se:

• Ama-catheters ama-umbilical, angahle abekwe ngemuva nje kokuzalwa, kodwa abe nezingozi
• Imigqa ye-venous emaphakathi, efakwa emthanjeni omkhulu eduze kwenhliziyo, kodwa inobungozi
• Ama-catheters afakwe ngaphakathi (ama-PICC), afinyelela eduze kwenhliziyo, kodwa abe nezingozi

Ngenxa yokuthi ama-catheters asezingeni eliphakathi nendawo awafinyeleli ngale kwekhwapha, abhekwa njengaphephile. Kodwa-ke, kungahle kube nemithi ethile ye-IV engakwazi ukulethwa nge-catheter yangaphakathi. Futhi, ukudonswa kwegazi okujwayelekile akukwaziswa kusuka ku-catheter ye-midline, ngokungafani nezinhlobo eziphakathi nendawo zama-catheters we-venous.

IBHALWA KANJANI I-MIDLINE CATHETER?

Ipayipi le-midline lifakwa emithanjeni yengalo, emlenzeni, noma, kwesinye isikhathi, isikhumba sezinwele sosana.

Umhlinzeki wezokunakekelwa kwempilo uzo:

• Beka usana etafuleni lokuhlola
• Thola usizo kwabanye abasebenzi abaqeqeshiwe abazosiza ukuzola nokududuza usana
• Bhala indawo lapho kuzobekwa khona ipayipi
• Hlanza isikhumba sengane ngomuthi obulala amagciwane (isinqandakuvunda)
• Yenza ukusika okuncane okuhlinzekwayo bese ubeka inaliti engenalutho emthanjeni omncane engalweni, emlenzeni, noma ekhanda
• Faka ipayipi le-midline ngokusebenzisa inaliti ungene emthanjeni omkhulu bese ususa inaliti
• Bopha indawo lapho kubekwe khona ipayipi

BUYINI UBUNGOZI BOKUBA NE-MIDLINE CATHETER?

Izingozi ze-midline venous catheterization:

• Ukutheleleka. Ingozi incane, kepha iyanda uma i-midline catheter ihlala isikhathi eside.
• Ukopha nokulimaza endaweni lapho kufakwa khona.
• Ukuvuvukala umthambo (phlebitis).
• Ukuhamba kwepayipi ngaphandle kwendawo, ngisho nokuphuma emthanjeni.
• Uketshezi oluvuthayo olusuka ku-catheter luye ezicutshini kungaholela ekuvuvukeni nasekubomvu.
• Ukwephulwa kwepayipi ngaphakathi komthambo (okungajwayelekile).

Ipayipi le-venous medial - izinsana; I-MVC - izinsana; I-catheter ye-Midline - izinsana; I-ML catheter - izinsana; ML - izinsana

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Imihlahlandlela yokuvimbela ukutheleleka okuhlobene ne-catheter ye-intravascular (2011). www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Kubuyekezwe uJulayi 2017. Kufinyelelwe ngoJulayi 30, 2020.

I-Chenoweth KB, i-Guo JW, i-Chan B. I-catheter ye-peripheral engene efakwa ngaphakathi iyindlela ehlukile yokungena ngaphakathi kwe-NICU. U-Adv Neonatal Care. 2018; 18 (4): 295-301. I-PMID: 29847401 pubmed.ncbi.nlm.nih.gov/29847401/.

UWitt SH, uCarr CM, uKrywko DM. Ukuhlala ngaphakathi kwamadivayisi okufinyelela emithanjeni: ukufinyelela okuphuthumayo nokuphathwa. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 24.