I-Central Venous Catheter
Izici Zomkhiqizo
● I-clamp ephathekayo ivumela ukubambelela endaweni yokubhoboza kungakhathaliseki ukujula kwe-catheter, okunciphisa ukuhlukumezeka nokucasuka endaweni yokubhoboza.
● Ukumakwa okujulile kusiza ekubekweni okunembile kwe-venous catheter emaphakathi ukusuka kumthambo we-subclavian ongakwesokudla noma wesobunxele noma we-jugular.
● Ithiphu elithambile linciphisa ukuhlukumezeka emkhunjini, linciphise ukuguguleka komkhumbi, i-hemothorax kanye ne-tamponade yenhliziyo.
● I-lumen eyodwa, ekabili, ephindwe kathathu iyatholakala ngokukhetha.
Umyalelo wokusetshenziswa
UKULUNGISELELA NGAPHAMBI KWENKQUBO
● Ukuhlolwa Kwesiguli: Qinisekisa inkomba kanye ne-vein patency (kunconywa i-ultrasound).
● Izisetshenziswa: Ikhithi ye-CVC eyinyumba (i-catheter, i-guidewire, i-dilator, i-sutures), umshini we-ultrasound, ama-drapes angenalutho, isibulala-magciwane (i-chlorhexidine/utshwala), i-anesthetic yendawo (1–2% i-lidocaine).
INQUBO YOKUFAKA
● Ukuma & Ukuvala inzalo: Beka isiguli e-Tendelenburg (i-jugular/subclavian) noma i-supine (i-femoral), bulala inzalo esikhunjeni nge->0.5% ye-chlorhexidine.
● Ukufinyelela emithanjeni: Sebenzisa indlela ye-Seldinger eqondiswa yi-ultrasound.
① Faka inaliti, igazi le-aspirate ukuze uqinisekise umthambo.
② I-Thread guidewire, susa inaliti.
③ Nweba ipheshana, i-catheter phambili phezu kwentambo.
④ Susa intambo, uqinisekise ukubuya kwegazi.
● Ukuvikeleka Nokugqokisa: I-Suture catheter + faka okokugqoka okusobala okuyinyumba. Qinisekisa ukubekwa nge-CXR (ithiphu ku-SVC/RA junction).
INAKEKELELO NGEMVA KOKUFAKA
● I-Flushing: I-saline ene-Heparinized (ukusetshenziswa ngezikhathi ezithile). 0.9% saline (infusions okuqhubekayo).
● Izinguquko Zokugqoka: Njalo ezinsukwini ezingu-7 (okungafihli) noma izinsuku ezingu-2 (i-gauze).
● Ukuqapha Izinkinga: I-Pneumothorax, ukutheleleka, i-thrombosis.
Isicelo somkhiqizo
● Ukunakekela Okubalulekile: Ukunikeza imithi, uketshezi, noma ama-vasopressor ezigunjini zabagula kakhulu (ICUs).
● I-Chemotherapy: Ukuletha imithi yokwelapha ngamakhemikhali noma eminye imithi yesikhathi eside.
● Ukondliwa Kwabazali: Ukunikeza ukwesekwa kokudla okunomsoco ezigulini ezingakwazi ukudla.
● I-Hemodialysis: Isebenza njengokufinyelela kwesikhashana kwemithambo ye-dialysis (isb., ama-CVC angashunqelwe).
● Ukuqapha: Ukulinganisa umfutho we-venous ophakathi (CVP) ezigulini ezigula kakhulu.
Imininingwane namamodeli
| I-Single Lumen Catheter | I-Double Lumen Catheter | I-Triple Lumen Catheter | |||
| Inombolo yomkhiqizo | Imodeli | Inombolo yomkhiqizo | Imodeli | Inombolo yomkhiqizo | Imodeli |
| 021001 | 20G | 022001 | 4F | 023002 | 5.5F |
| 021002 | 18G | 022002 | 5F | 023003 | 7F |
| 021003 | 16G | 022003 | 7F | 023004 | 8.5F |
| 021004 | 14G | 022004 | 8F | ||
Imininingwane Yomkhiqizo