查詢結果分析
相關文獻
- 某教學醫院新生兒出生體重與頭圍之相關因素之探討
- Subclavian Central Venous Catheterization in Neonates: Experience in a Medical Center
- Magnetic Resonance Cholangiography for Evaluation of Cholestatic Jaundice in Neonates and Infants
- 新生兒嬰兒之腦神經發展與其異常發現
- Studies on Fetal Hemoglobin and Gamma Globin Gene Triplication in Newborns in Jordan
- 新生兒皮膚調查--九九二位新生兒之分析
- 新生兒黃質菌腦膜炎
- 新生兒視覺功能與基底核(Basal Ganglion)之間關係
- 新生兒加護病房的院內感染
- 新生兒泌尿道感染
頁籤選單縮合
題名 | Subclavian Central Venous Catheterization in Neonates: Experience in a Medical Center=新生兒鎖骨下靜脈導管置放:一醫學中心的經驗 |
---|---|
作 者 | 盧文憲; 林淑敏; 姚美玲; 陳英堯; 林竹川; 黃大誠; 謝凱生; | 書刊名 | Clinical Neonatology |
卷期 | 12:1 2005.06[民94.06] |
頁次 | 頁19-21 |
分類號 | 417.517 |
關鍵詞 | 新生兒; 鎖骨下靜脈導管; Subclavian vein; Femoral vein; Intensive care unit; Cardiac catheterization; Complications; |
語文 | 英文(English) |
英文摘要 | Objectives: Central venous access is an important aspect of medical treatment in the neonatal intensive care unit (NICU). Central venous lines (CVLs) are needed for cardiac catheterization, total parenteral nutrition (TPN), intravenous antibiotics, multiple transfusions, and chemotherapy. The primary aim of this study was to demonstrate that central venous catheterization in neonates could be done through the subclavian vein as an alternative to the femoral vein. Methods: In our NICU, we always try to insert CVLs through the femoral vein first. When multiple attempts fail in the femoral area, we then approach the subclavian vein. Between January 1999 and June 2004, we performed a total of 20 subclavian vein catheterizations (SVC) in 18 neonates who weighed between 2.2 kg and 4.8 kg. Results: We had a success rate of 80% (16/20). Ten of the 16 successful insertions were done in 2 attempts and three sustained arterial punctures. In the 4 failed insertions, 1 patient had a pneumohemothorax and 3 had arterial punctures. Conclusions: In our NICU, we need intact femoral veins for cardiac catheterization. Excessive femoral vein catheterizations (FVC), however; often result in thrombosis, stricture, and hematoma which complicate subsequent FVC attempts. In this study we found subclavian venous catheterization in neonates could be used as an alternative procedure. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。