新生儿重症监护室脐动脉和脐静脉导管管理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2023.02.017

Abstract

Abstract:

Objective To retrieve the evidence for the management of neonatal umbilical catheterization，and to evaluate and summarize the best evidence. Methods According to“6S model”，we systema-tically searched the CNKI，Wanfang，PubMed，Cochrane Library，UpToDate，National Guideline Clearinghouse and other websites regarding all the evidence on the management of neonatal umbilical catheterization in neonatal intensive care unit（NICU）. The search time limit was from the inception of the databases till November 1，2021. Two researchers evaluated the quality of the included literature，and extracted evidence from the literature that met the quality standards. Results We searched 12 articles，including 5 guidelines，5 systematic reviews and 2 clinical decisions. Eighteen best evidences were collected from 4 aspects，including relevant technology of umbilical catheterization，catheter device management，catheter removal timing，and prevention of complications. Conclusion This study provides clinical medical staff with evidence-based evidence for the operation and management of umbilical catheterization and promotes the management of the catheterization site. Incidence of catheter-related complications will be reduced accordingly.

Key words: Intensive Care Units, Neonatal, Umbilical Arteries, Umbilical Veins, Evidence-Based Nursing, Best evidence

LI Xiaowen, HU Yanling, WAN Xingli, SHI Zeyao. Evidence summary on management of neonatal umbilical catheterization in the neonatal intensive care unit[J].Chinese Journal of Nursing Education, 2023, 20(2): 223-228.

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[1]	苏绍玉, 胡艳玲. 新生儿临床护理精粹[M]. 北京: 人民卫生出版社, 2017.
[2]	杨祖铭, 王三南, 马月兰, 等. 脐静脉联合外周中心静脉置管在极低出生体重儿中的应用[J]. 中国当代儿科杂志, 2013, 15(5):353-355.
	Yang ZM, Wang SN, Ma YL, et al. Application of umbilical venous catheter combined with peripherally inserted central catheter in very low birth weight infants[J]. Chin J Contemp Pediatr, 2013, 15(5):353-355.
[3]	钟艳青, 刘欣, 王建洪, 等. 脐静脉置管联合脐动脉置管在早产儿中的临床应用[J]. 潍坊医学院学报, 2017, 39(1):69-70.
	Zhong YQ, Liu X, Wang JH, et al. The research on clinical application of umbilical vein catheter combined umbilical artery catheter[J]. Acta Acad Med Weifang, 2017, 39(1):69-70.
[4]	Traen M, Schepens E, Laroche S, et al. Cardiac tamponade and pericardial effusion due to venous umbilical catheterization[J]. Acta Paediatr, 2005, 94(5):626-628. pmid: 16188754
[5]	Zingg W, Posfay-Barbe KM, Pfister RE, et al. Individualized catheter surveillance among neonates:a prospective,8-year,single-center experience[J]. Infect Control Hosp Epidemiol, 2011, 32(1):42-49. doi: 10.1086/657634
[6]	Plooij-Lusthusz AM, van Vreeswijk N, van Stuijvenberg M, et al. Migration of umbilical venous catheters[J]. Am J Perinatol, 2019, 36(13):1377-1381. doi: 10.1055/s-0038-1677016
[7]	Boo NY, Wong NC, Zulkifli SS, et al. Risk factors associated with umbilical vascular catheter-associated thrombosis in newborn infants[J]. J Paediatr Child Health, 1999, 35(5):460-465. doi: 10.1046/j.1440-1754.1999.355392.x
[8]	Sharon R Smith. Vascular(venous) access for pediatric resus-citation and other pediatric emergencies[EB/OL]. (2022-02-04)[2022-08-14]. http://49.234.226.30:8091/contents/zh-Hans/vas-cular-venous-access-for-pediatric-resuscitation-and-other-pediatric-eme-rgencies?search=Vascular%20(venous)%20access%20for%20pediatric%20resuscitation%20and%20other%20pediatric%20emergencies&source=search_result&selectedTitle=1-150&usage_type=default&display_rank=1.
[9]	Anthony KC Chan, Mihir D Bhatt. Management of thrombosis in the newborn[EB/OL].(2018-09-19)[2021-10-11]. https://www.uptodate.com/contents/zh-Hans/management-of-thrombosis-in-the-newborn?search=Management%20of%20thrombosis%20in%20the%20newborn&source=search_result&selectedTitle=1-20& usage_type=default&display_rank=1.
[10]	中华医学会儿科学分会新生儿学组, 中国妇幼保健协会医院感染控制专业委员会, 国家儿童医学中心, 等. 新生儿脐静脉置管相关并发症防控指南[J]. 中华新生儿科杂志, 2021, 36(2):1-9.
[11]	Infusion Nurses Society(INS). Infusion therapy standards of practice[J]. J lnfusion Nurs, 2016, 39(1S):S93-S94.
[12]	Monagle P, Chan AKC, Goldenberg NA, et al. Antithrombotic therapy in neonates and children:antithrombotic therapy and prevention of thrombosis,9th Ed:American college of chest physicians evidence-based clinical practice guidelines[J]. Chest, 2012, 141(2 Suppl):e737S-e801S. doi: 10.1378/chest.11-2308
[13]	O’Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections[J]. Clin Infect Dis, 2011, 52(9):e162-e193. doi: 10.1093/cid/cir257
[14]	中华医学会重症医学分会. 血管内导管相关感染的预防与治疗指南(2007)[J]. 中国实用外科杂志, 2008, 28(6):413-421.
[15]	Payne V, Hall M, Prieto J, et al. Care bundles to reduce central line-associated bloodstream infections in the neonatal unit:a systematic review and meta-analysis[J]. Arch Dis Child Fetal Neonatal Ed, 2018, 103(5):F422-F429. doi: 10.1136/archdischild-2017-313362
[16]	Taylor JE, Tan K, Lai NM, et al. Antibiotic lock for the pre-vention of catheter-related infection in neonates[J]. Cochrane Database Syst Rev, 2015(6):CD010336.
[17]	Barrington KJ. Umbilical artery catheters in the newborn:ef-fects of position of the catheter tip[J]. Cochrane Database Syst Rev, 2000, 1999(2):CD000505.
[18]	Shah PS, Shah VS. Continuous heparin infusion to prevent thrombosis and catheter occlusion in neonates with periphe-rally placed percutaneous central venous catheters[J]. Coch-rane Database Syst Rev, 2008(2):CD002772.
[19]	Kabra NS, Kumar M, Shah SS. Multiple versus single lumen umbilical venous catheters for newborn infants[J]. Cochrane Database Syst Rev, 2005, 2005(3):CD004498.
[20]	Fleming SE, Kim JH. Ultrasound-guided umbilical catheter insertion in neonates[J]. J Perinatol, 2011, 31(5):344-349. doi: 10.1038/jp.2010.128 pmid: 21311495
[21]	Sheta A, Kamaluddeen M, Soraisham AS. Umbilical venous catheter insertion depth estimation using birth weight versus surface measurement formula:a randomized controlled trial[J]. J Perinatol, 2020, 40(4):567-572. doi: 10.1038/s41372-019-0456-0
[22]	Krishnegowda S, Thandaveshwar D, Mahadevaswamy M, et al. Comparison of JSS formula with modified Shukla’s formula for insertion of umbilical venous catheter:a randomized controlled study[J]. Indian Pediatr, 2019, 56(3):199-201. pmid: 30954990
[23]	Kieran EA, Laffan EE, O’Donnell CPF. Estimating umbilical catheter insertion depth in newborns using weight or body measurement:a randomised trial[J]. Arch Dis Child Fetal Neonatal Ed, 2016, 101(1):F10-F15.
[24]	Coleman MM, Spear ML, Finkelstein M, et al. Short-term use of umbilical artery catheters may not be associated with increased risk for thrombosis[J]. Pediatrics, 2004, 113(4):770-774. pmid: 15060226
[25]	Barrington KJ. Umbilical artery catheters in the newborn:ef-fects of heparin[J]. Cochrane Database Syst Rev, 2000, 1999(2):CD000507.

Evidence summary on management of neonatal umbilical catheterization in the neonatal intensive care unit

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