小児における鎖骨下静脈穿刺法を用いた皮下トンネル経由中心静脈カテーテル留置法

概要

論文の詳細を見る
Total parentaral nutrition (TPN) by central vein catheterisation has become one of the important treatments for saving lives of ill infants. In paticular, the route for achieving superior vena cava catheterisation provides a most satisfactory method and has been used widely. However, sepsis associated with the catheterisation still remains as a hazardous complication. To protect patients from the catheter-associated sepsis during TPN, the new procedure of Subclavian Vein Catheterisation (SVC) with subcutaneous tunnel was devised. The feature of this technique was to use a Peel-off Cannula for the introducer of the catheter and a vennula needle for making the subcutaneous tunnel wth ease and safety. In this Paper, our experience of SVC with subcutaneous tunnel during the past 2 yr. from Dec. 1982 through Dec. 1984 is reported. And the advantages of subcutaneous tunnel to protect the catheter-inserted site of the skin from the infection is emphasised.
1986-08-20