Expert consensus on venous catheter maintenance

doi:10.3761/j.issn.0254-1769.2019.09.011

Abstract

Abstract:

Objective To standardize the maintenance of clinical venous catheter,so as to reduce the catheter related complications,prolong the service life of catheter and reduce medical cost.Methods The consensus was formed through literature searching,interview with key stakeholders,and repeated expert discussion meetings.Results The consensus summarized the latest evidence in six chapters covering all aspects of catheter maintenance,such as flushing and locking tube,dressing replacement and catheter maintenance,infusion joint,catheter removal,education and training,and infection control.Conclusion Items in this consensus are concise and easy to implement,and the new content can supplement and perfect the existing norms and standards to a certain extent,which is helpful to solve clinical problems and guide clinical practice.

Key words: Vascular Access Devices, Peripheral Venous Catheter, Peripherally Inserted Central Catheter, Central Venous Catheter, Implantable Venous Access Port, Maintenance, Expert Consensus

摘要：

目的规范临床静脉导管维护操作,减少导管相关并发症,延长导管使用寿命,降低医疗费用。方法通过查阅国内外文献并对利益相关人群进行访谈,编写临床静脉导管维护操作专家共识初稿,设计推荐意见专家共识表,通过2轮专家论证会议,结合专家意见,对各条目进行调整、修改,最终形成共识。结果该共识总结了冲管与封管、敷料更换与导管固定、输液接头、静脉导管拔除、教育培训、感染预防与控制等6个方面的最新证据,内容覆盖导管维护的各个环节。结论该共识条目简单明了、易执行,新增内容能够在一定程度上补充和完善现有的规范及标准,有助于解决临床问题,指导临床实践。

关键词: 血管通路装置, 外周静脉导管, 经外周置入中心静脉导管, 中心静脉导管, 输液港, 维护, 专家共识

Intravenous Therapy Committee of Chinese Nursing Association , Writing Committee：SUN Hong , CHEN Lifen, GUO Caixia, YANG Qiaofang, LI Xuying, ZHAO Gaiting, MEI Ganhong, CHEN Ying, XING Hong, FENG Bilong, WANG Lei. Expert consensus on venous catheter maintenance[J]. Chinese Journal of Nursing, 2019, 54(9): 1334-1342.

中华护理学会静脉输液治疗专业委员会, 执笔：孙红, 陈利芬, 郭彩霞, 杨巧芳, 李旭英, 赵改婷, 梅赣红, 陈英, 邢红, 冯毕龙, 王蕾. 临床静脉导管维护操作专家共识[J]. 中华护理杂志, 2019, 54(9): 1334-1342.

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