名古屋大学医学部附属病院_中心静脈カテーテル挿入マニュアル

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3 1 (1) 1 (2) 1 (3) 2 (4) 2 (5) 2 (6) 2 (7) 3 (8) 3 (9) 3 (10) 3 (11) 4 (12) 4 (13) 4 (14) 5 (15) 5 (16) 5 (17) 7 (18) iii

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16 (2) (3) 1.5 (1)

17 20 (1) (2) (3) (4) (5) % (1)(2) 0.49% (5) 0%

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20 16 10 /ml (6) EXCV SMAC12G or 7Fr UK 16G R 2.1

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33 1 p David C. McGee, M.D., and Michael K. Gould, M.D.: Preventing Complications of Central Venous Catheterization.The NEW ENGLAND JOURNAL of MEDICINE 2003;Vol.348,No.12: Ma TY,Yoshinaka R,Banaag A,Johnson B,Davis S,Berman SM:Total parenteral nutrition via multilumen catheters dose not increase the risk of catheter-related sepsis:a randomized,prospective study.clin Infect Dis 1998;27: Farkas JC,Liu N,Bleriot JP,Chevret S,Goldstein FW,Carlet J:Single-versus triple-lumen central catheter-related sepsis:a prospective randomized study in a critically ill population.am J Med 1992;93: Clark-christoff N,Watters VA,Sparks W,Snyder P,Grant JP:Use of triple-lumen subclavian catheters for administration of total parenteral nutrition.jpen J Parenter Enteral Nutr 1992;16: Hirsch DR,Ingenito EP,Goldhaber SZ:Prevalence of deep venous thrombosis among patients in medical intensive care.jama 1995;274: Merrer J,De Jonghe B,Golliot F,et al:complications of femoral and subclavian venous catheterization in critically ill patients:a randomized controlled trial.jama 2001,286: Timsit JF,Farkas JC,Boyer JM,et all:central vein catheter-related thrombosis in intensive care patients:incidence,risk factors,and relationship with catheter-related sepsis.chest 1998;114: Sznajdar JI,Zveibil FR,Bitterman H,Weiner P,Bursztein S:Central vein catheterizaton:failure and complication rates by three percutaneus approaches.arch Intern Med 1986;146: Mansfield PF,Hohn DC,Fornage BD,Gregurich MA,Ota DM:Complications and failures of subclavian-vein catheterizaton:n Engl J Med 1994;331: Martin C,Eon B,Auffray JP,Saux P,Gouin F:Axillary or internal jugular central venous catheterizaton.crit Care Med 1990;18: Durbec O,Viviand X,Potie F,Vialet R,Albanese J,Martin C:A prospective evaluation of the use of femoral venous catheters in critically ill adults.crit Care Med 1997;25: Timsit JF,Bruneel F,Cheval C,et al.:use of tunneled femoral catheters to prevent catheter-related infection:a randomized,controlled trial.ann Intern Med 1999;130:

34 16 Sulek CA, Gravenstein N, Blackshear RH, Weiss L: Head rotation during internal jugular vein cannulation and the risk of carotid artery puncture. Anesth Analg 1996; 82: p122-p p Andrew D. Maslow, MD,Rhode Island Hospital,Providence, RIThe Society of Cardiovascular Anesthesiologists - October 2002 Newsletter, PRO/CON: Central Venous Cannulation Performed Using Ultrasound Guidance - October T.Andrew Bowdle,M.D.,Ph.D.,Professor of Anesthsiology and Pharmaceutics(Ajunct) and Chief,Division of Cardiothoracic Anesthesiology,University of Washington,Seattle,Washington American Society of Anesthesiologists NEWSLETTER June2002 Volume 66 Number 6,Central Line Complication From the ASA Closed Claims Project:An Update p11,12,25 21 Denys BG, Uretsky BF: Anatomical variations of internal jugular vein location: impact on central venous access. Crit Care Med 1991; 19: Sulek CA, Gravenstein N, Blackshear RH, Weiss L: Head rotation during internal jugular vein cannulation and the risk of carotid artery puncture. Anesth Analg 1996; 82: p2-p3 24 Randolph AG, Cook DJ, Gonzales CA, Pribble CG: Ultrasound guidance for placement of central venous catheters: A meta-analysis of the literature. Crit Care Med 1996; 24: Rothschild JM: Ultrasound guidance of central vein catheterization. Evidence Report/Technology Assessment, No. 43. Making Health Care Safer. A Critical Analysis of Patient Safety Practices. Agency for Healthcare Research and Quality Publication No. 01-E ; Lobato EB, Sulek CA, Moody RL, Morey TE: Cross-sectional area of the right and left internal jugular veins. J Cardiothorac Vasc Anesth 1999; 13: Baltalari A.et alsubclavian vein cannulation in a different position, J Neurol Sci (Turkish,electric editon) 17 Issue 3, #29, p p126-p p14-p15 30

35 31 p130-p p10-p11 33 Anderson JELower limbgrant s atlas of anatomy 8 th ed.baltimorewilliams&wilkins p118-p119 31

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