Cibiyar Venous Catheter
Siffofin Samfur
● Matsi mai motsi yana ba da damar tsayawa a wurin huda ba tare da la'akari da zurfin catheter ba, wanda ke rage rauni da fushi ga wurin huda.
● Alamar zurfafa tana taimakawa daidaitaccen wuri na catheter na tsakiya daga dama ko hagu subclavian ko jugular vein.
● Tukwici mai laushi yana rage rauni ga jirgin ruwa, rage girman yashwar jirgin ruwa, hemothorax da tamponade na zuciya.
● Single, biyu, lumen sau uku yana samuwa don zaɓi.
Umarnin don amfani
SHIRI KAFIN TSARI
● Ƙimar mara lafiya: Tabbatar da nuni da patency na jijiya (an bada shawarar Ultrasound).
● Kayan aiki: Kayan CVC bakararre (catheter, guidewire, dilator, sutures), na'urar duban dan tayi, drapes bakararre, maganin antiseptik (chlorhexidine / barasa), maganin sa barci na gida (1-2% lidocaine).
HANYAR SHIGA
● Matsayi & Haifuwa: Sanya mai haƙuri a Trendelenburg (jugular / subclavian) ko na baya (femoral), bakara fata tare da> 0.5% chlorhexidine.
● Samun Jijiya: Yi amfani da dabarar Seldering mai jagorancin duban dan tayi.
① Saka allura, jini mai sha'awar tabbatar da jijiya.
② Zaren jagora, cire allura.
③ Dilate fili, gaba da catheter akan waya.
④ Cire waya, tabbatar da dawowar jini.
● Tsaro & Tufafi: Suture catheter + shafa suturar da ba ta dace ba. Tabbatar da jeri ta hanyar CXR (tip a junction SVC/RA).
KULA DA SIGAWA
● Flushing: Heparinized Saline (don amfani na lokaci-lokaci). 0.9% saline (ci gaba da infusions).
● Canje-canjen Tufafi: Kowane kwanaki 7 (m) ko kwana 2 (gauze).
● Kulawa da Cututtuka: Pneumothorax, kamuwa da cuta, thrombosis.
Aikace-aikacen samfur
Kulawa Mai Mahimmanci: Gudanar da magunguna, ruwa, ko vasopressors a cikin rukunin kulawa mai zurfi (ICUs).
● Chemotherapy: Ba da magungunan chemotherapy ko wasu magunguna na dogon lokaci.
Gina Jiki na Iyaye: Ba da tallafin abinci mai gina jiki ga marasa lafiya da ba su iya ci.
● Hemodialysis: Yin aiki azaman hanyar samun damar jijiya na wucin gadi don dialysis (misali, CVCs marasa tushe).
● Kulawa: Auna matsi na tsakiya (CVP) a cikin marasa lafiya marasa lafiya.
Ƙayyadaddun bayanai da Samfura
| Single Lumen Catheter | Biyu Lumen Catheter | Sau uku Lumen Catheter | |||
| Samfurin No | Samfura | Samfurin No | Samfura | Samfurin No | Samfura |
| 021001 | 20G | 022001 | 4F | 023002 | 5.5F |
| 021002 | 18G | 022002 | 5F | 023003 | 7F |
| 021003 | 16G | 022003 | 7F | 023004 | 8.5F |
| 021004 | 14G | 022004 | 8F | ||
Cikakken Bayani