Indications for Peripheral, Midline, and Central Catheters: Summary of the Michigan Appropriateness Guide for Intravenous Catheters Recommendations

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• 作者：Nancy Moureau ; RN ; ^{Nancy@piccexcellence.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：central venous catheters ; peripheral catheters ; midline catheters ; peripherally inserted central catheters ; central line-associated bloodstream infections ; thrombosis
• 刊名：Journal of the Association for Vascular Access
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：21
• 期：3
• 页码：140-148
• 全文大小：1482 K

文摘

Patients admitted to acute care frequently require intravenous access to effectively deliver medications and prescribed treatment. For patients with difficult intravenous access; those requiring multiple attempts; and those who are obese, have diabetes, or have other chronic conditions, determining the vascular access device (VAD) with the lowest risk that best meets the needs of the treatment plan can be confusing. Selection of a VAD should be based on specific indications for that device. In clinical settings, requests for central venous access devices are frequently precipitated simply by failure to establish peripheral access. Selection of the most appropriate VAD is necessary to avoid the potentially serious complications of infection and/or thrombosis. An international panel of experts convened to establish a guide for indications and appropriate use for VADs. This article summarizes the work and recommendations of the panel that created the Michigan Appropriateness Guide for Intravenous Catheters.