抹消静脈カテーテルは必要時交換でも問題ない
Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial
BMJ 2008;337:a339
755人の患者を二分割
三日ごとのカテーテル交換 vs 臨床的適応時に交換
プライマリアウトカム 静脈炎、血管外漏出
→ 差がなかった
セカンダリアウトカム コスト
→ 臨床的適応時に交換するほうが、安い
cf CDC Guideline, MMWR 2002;51(RR10):1-36
では、末梢静脈カテーテルは72〜96時間おき、
中心静脈・動脈カテーテルは交換しない
こととなっている
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