{"id":5020,"date":"2022-06-22T12:01:52","date_gmt":"2022-06-22T12:01:52","guid":{"rendered":"https:\/\/vygonwp.cekom.de\/?post_type=landingpages&#038;p=5020"},"modified":"2025-03-17T11:25:11","modified_gmt":"2025-03-17T10:25:11","slug":"vaskulaerer-zugang","status":"publish","type":"landingpages","link":"https:\/\/www.vygon.de\/unternehmen\/lp\/vaskulaerer-zugang\/","title":{"rendered":"Vaskul\u00e4rer Zugang"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8220;1&#8243; admin_label=&#8220;Hero&#8220; _builder_version=&#8220;4.20.4&#8243; background_color=&#8220;#084666&#8243; use_background_color_gradient=&#8220;on&#8220; background_color_gradient_direction=&#8220;170deg&#8220; background_color_gradient_stops=&#8220;rgba(0,46,79,0.13) 1%|rgba(8,70,102,0.8) 100%&#8220; background_color_gradient_overlays_image=&#8220;on&#8220; background_color_gradient_start=&#8220;rgba(0,46,79,0.13)&#8220; background_color_gradient_start_position=&#8220;1%&#8220; background_color_gradient_end=&#8220;rgba(8,70,102,0.8)&#8220; background_image=&#8220;https:\/\/www.vygon.de\/unternehmen\/wp-content\/uploads\/2022\/06\/Neonatologie-Enterale-Ernaehrung-height.jpg&#8220; background_size=&#8220;initial&#8220; background_position=&#8220;top_center&#8220; min_height=&#8220;636px&#8220; custom_padding=&#8220;100px||||false|false&#8220; bottom_divider_height=&#8220;181px&#8220; bottom_divider_flip=&#8220;horizontal&#8220; bottom_divider_style_tablet=&#8220;&#8220; bottom_divider_style_phone=&#8220;&#8220; bottom_divider_style_last_edited=&#8220;on|phone&#8220; hover_transition_speed_curve=&#8220;ease-in&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row use_custom_gutter=&#8220;on&#8220; gutter_width=&#8220;1&#8243; _builder_version=&#8220;4.20.4&#8243; background_size=&#8220;initial&#8220; background_position=&#8220;top_left&#8220; background_repeat=&#8220;repeat&#8220; custom_margin=&#8220;||80px||false|false&#8220; custom_padding=&#8220;27px|0px|27px|0px|false|false&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.16&#8243; custom_padding=&#8220;|||&#8220; global_colors_info=&#8220;{}&#8220; custom_padding__hover=&#8220;|||&#8220;][et_pb_text _builder_version=&#8220;4.17.0&#8243; text_font=&#8220;||||||||&#8220; text_font_size=&#8220;20px&#8220; header_font=&#8220;Open Sans|800|||||||&#8220; header_font_size=&#8220;60px&#8220; header_line_height=&#8220;1.3em&#8220; background_size=&#8220;initial&#8220; background_position=&#8220;top_left&#8220; background_repeat=&#8220;repeat&#8220; background_layout=&#8220;dark&#8220; max_width=&#8220;1054px&#8220; custom_margin=&#8220;|||&#8220; custom_margin_tablet=&#8220;|100px||&#8220; custom_margin_phone=&#8220;|30px||&#8220; custom_margin_last_edited=&#8220;off|desktop&#8220; custom_padding=&#8220;|||0px||&#8220; header_font_size_tablet=&#8220;50px&#8220; header_font_size_phone=&#8220;40px&#8220; header_font_size_last_edited=&#8220;on|phone&#8220; header_line_height_tablet=&#8220;&#8220; header_line_height_phone=&#8220;&#8220; header_line_height_last_edited=&#8220;on|desktop&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h1>Neonatale vaskul\u00e4re Zug\u00e4nge <\/h1>\n<p>Der richtige Katheter f\u00fcr den richtigen Patienten zur richtigen Zeit.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8220;1_3,1_3,1_3&#8243; use_custom_gutter=&#8220;on&#8220; gutter_width=&#8220;2&#8243; _builder_version=&#8220;4.27.4&#8243; hover_enabled=&#8220;0&#8243; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220; sticky_enabled=&#8220;0&#8243;][et_pb_column type=&#8220;1_3&#8243; _builder_version=&#8220;4.27.4&#8243; background_color=&#8220;gcid-b6111dba-5eb2-418e-bf15-4dad8bfd0c8c&#8220; transform_translate_linked=&#8220;off&#8220; custom_padding=&#8220;||25px||false|false&#8220; link_option_url=&#8220;#risiken-section&#8220; hover_enabled=&#8220;0&#8243; global_colors_info=&#8220;{%22gcid-b6111dba-5eb2-418e-bf15-4dad8bfd0c8c%22:%91%22background_color%22%93}&#8220; custom_padding__hover=&#8220;|||&#8220; transform_styles__hover_enabled=&#8220;on|hover&#8220; transform_scale__hover_enabled=&#8220;on|desktop&#8220; transform_translate__hover_enabled=&#8220;on|hover&#8220; transform_rotate__hover_enabled=&#8220;on|desktop&#8220; transform_skew__hover_enabled=&#8220;on|desktop&#8220; transform_origin__hover_enabled=&#8220;on|desktop&#8220; transform_translate__hover=&#8220;0px|-5px&#8220; transform_scale__hover=&#8220;105%|105%&#8220; sticky_enabled=&#8220;0&#8243; border_radii=&#8220;on|15px|15px|15px|15px&#8220;][et_pb_text _builder_version=&#8220;4.20.4&#8243; text_font=&#8220;||||||||&#8220; text_font_size=&#8220;16px&#8220; text_line_height=&#8220;2em&#8220; header_font=&#8220;||||||||&#8220; header_3_font=&#8220;Open Sans|700||on|||||&#8220; header_3_line_height=&#8220;1.6em&#8220; background_color=&#8220;RGBA(0,0,0,0)&#8220; text_orientation=&#8220;center&#8220; background_layout=&#8220;dark&#8220; min_height=&#8220;191px&#8220; custom_margin=&#8220;||0px||false|false&#8220; custom_padding=&#8220;30px|30px|0px|30px|false|true&#8220; animation_style=&#8220;fold&#8220; animation_direction=&#8220;top&#8220; link_option_url=&#8220;#risiken&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h3>RISIKEN<\/h3>\n<p>Die Wahl des richtigen Gef\u00e4\u00dfzugangs h\u00e4ngt von unterschiedlichen Faktoren ab und erfordert eine fr\u00fche ad\u00e4quate Evaluation.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.20.4&#8243; _module_preset=&#8220;default&#8220; text_text_color=&#8220;#FFFFFF&#8220; text_orientation=&#8220;center&#8220; custom_margin=&#8220;0px||0px||false|false&#8220; custom_padding=&#8220;0px||0px||false|false&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><span class=\"et-pb-icon\" style=\"font-size: 40px;\">3<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8220;1_3&#8243; _builder_version=&#8220;4.27.4&#8243; background_color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; transform_translate_linked=&#8220;off&#8220; custom_padding=&#8220;|||&#8220; link_option_url=&#8220;#folgen-section&#8220; hover_enabled=&#8220;0&#8243; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22background_color%22%93}&#8220; custom_padding__hover=&#8220;|||&#8220; transform_styles__hover_enabled=&#8220;on|hover&#8220; transform_scale__hover=&#8220;105%|105%&#8220; transform_scale__hover_enabled=&#8220;on|desktop&#8220; transform_translate__hover=&#8220;0px|-5px&#8220; transform_translate__hover_enabled=&#8220;on|hover&#8220; transform_rotate__hover_enabled=&#8220;on|desktop&#8220; transform_skew__hover_enabled=&#8220;on|desktop&#8220; transform_origin__hover_enabled=&#8220;on|desktop&#8220; border_radii=&#8220;on|15px|15px|15px|15px&#8220; sticky_enabled=&#8220;0&#8243;][et_pb_text _builder_version=&#8220;4.17.0&#8243; text_font=&#8220;||||||||&#8220; text_font_size=&#8220;16px&#8220; text_line_height=&#8220;2em&#8220; header_font=&#8220;||||||||&#8220; header_3_font=&#8220;Open Sans|700||on|||||&#8220; header_3_line_height=&#8220;1.6em&#8220; background_color=&#8220;RGBA(0,0,0,0)&#8220; text_orientation=&#8220;center&#8220; background_layout=&#8220;dark&#8220; min_height=&#8220;191px&#8220; custom_margin=&#8220;||0px||false|false&#8220; custom_padding=&#8220;30px|30px|0px|30px|false|true&#8220; animation_style=&#8220;fold&#8220; animation_direction=&#8220;top&#8220; link_option_url=&#8220;#folgen&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h3>Folgen<\/h3>\n<p>Die Wahl des falschen vaskul\u00e4ren Zugangs k\u00f6nnte zu einer Steigerung des Infektionsrisikos und zu einer erneuten Katheterplatzierung f\u00fchren. <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; text_text_color=&#8220;#FFFFFF&#8220; text_orientation=&#8220;center&#8220; custom_margin=&#8220;0px||0px||false|false&#8220; custom_padding=&#8220;0px||0px||false|false&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><span class=\"et-pb-icon\" style=\"font-size: 40px;\">3<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8220;1_3&#8243; _builder_version=&#8220;4.16&#8243; background_color=&#8220;gcid-29fd1057-87a9-4597-87d4-1964dc9ebb67&#8243; transform_translate_linked=&#8220;off&#8220; custom_padding=&#8220;|||&#8220; link_option_url=&#8220;#loesungen-section&#8220; global_colors_info=&#8220;{%22gcid-29fd1057-87a9-4597-87d4-1964dc9ebb67%22:%91%22background_color%22%93}&#8220; custom_padding__hover=&#8220;|||&#8220; transform_styles__hover_enabled=&#8220;on|hover&#8220; transform_scale__hover=&#8220;105%|105%&#8220; transform_scale__hover_enabled=&#8220;on|desktop&#8220; transform_translate__hover=&#8220;0px|-5px&#8220; transform_translate__hover_enabled=&#8220;on|hover&#8220; transform_rotate__hover_enabled=&#8220;on|desktop&#8220; transform_skew__hover_enabled=&#8220;on|desktop&#8220; transform_origin__hover_enabled=&#8220;on|desktop&#8220; border_radii=&#8220;on|15px|15px|15px|15px&#8220;][et_pb_text _builder_version=&#8220;4.17.0&#8243; text_font=&#8220;||||||||&#8220; text_font_size=&#8220;16px&#8220; text_line_height=&#8220;2em&#8220; header_font=&#8220;||||||||&#8220; header_3_font=&#8220;Open Sans|700||on|||||&#8220; header_3_line_height=&#8220;1.6em&#8220; background_color=&#8220;RGBA(0,0,0,0)&#8220; text_orientation=&#8220;center&#8220; background_layout=&#8220;dark&#8220; min_height=&#8220;191px&#8220; custom_margin=&#8220;||0px||false|false&#8220; custom_padding=&#8220;30px|30px|0px|30px|false|true&#8220; animation_style=&#8220;fold&#8220; animation_direction=&#8220;top&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<h3>L\u00f6sungen<\/h3>\n<p>Der Entscheidungsbaum und weitere hilfreiche Tipps und Tricks helfen Ihnen dabei, den passenden Katheter f\u00fcr Ihren Patienten zu finden. <\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; text_text_color=&#8220;#FFFFFF&#8220; text_orientation=&#8220;center&#8220; custom_margin=&#8220;0px||0px||false|false&#8220; custom_padding=&#8220;0px||0px||false|false&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><span class=\"et-pb-icon\" style=\"font-size: 40px;\">3<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; specialty=&#8220;on&#8220; module_id=&#8220;risiken-section&#8220; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; saved_tabs=&#8220;all&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;2_3&#8243; specialty_columns=&#8220;2&#8243; _builder_version=&#8220;4.16&#8243; custom_padding=&#8220;|||&#8220; global_colors_info=&#8220;{}&#8220; custom_padding__hover=&#8220;|||&#8220;][et_pb_row_inner _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; background_color=&#8220;RGBA(255,255,255,0)&#8220; custom_padding=&#8220;||||true|true&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column_inner saved_specialty_column_type=&#8220;2_3&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;Poppins|600|||||||&#8220; text_text_color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; custom_margin=&#8220;||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22text_text_color%22%93}&#8220;]<\/p>\n<p>Risiken<\/p>\n<p>[\/et_pb_text][et_pb_divider color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; divider_weight=&#8220;4px&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; width=&#8220;15%&#8220; custom_margin=&#8220;0px||0px||false|false&#8220; custom_padding=&#8220;0px||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22color%22%93}&#8220;][\/et_pb_divider][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; header_3_font=&#8220;Open Sans||||||||&#8220; header_3_text_color=&#8220;gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e&#8220; header_3_font_size=&#8220;25px&#8220; header_3_line_height=&#8220;1.3em&#8220; header_3_font_tablet=&#8220;&#8220; header_3_font_phone=&#8220;&#8220; header_3_font_last_edited=&#8220;on|phone&#8220; global_colors_info=&#8220;{%22gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e%22:%91%22header_3_text_color%22,%22header_3_text_color%22%93}&#8220;]<\/p>\n<p>Es gibt viele Gr\u00fcnde, warum Neugeborene eine intraven\u00f6se Therapie ben\u00f6tigen: Schwierigkeiten im Verdauungssystem, Pathologien, die eine orale Ern\u00e4hrung verhindern oder verz\u00f6gern, Aufrechterhaltung des Fl\u00fcssigkeits- und Elektrolytgleichgewichts, Verabreichung von Medikamenten, Transfusionen, intraven\u00f6se Behandlung, die mit der parenteralen Ern\u00e4hrung nicht vereinbar ist, u.v.m.<br \/>Der periphere Zugang wird derzeit eine die ersten Optionen f\u00fcr die neonatale Behandlung empfohlen. Trotzdem gibt es Ausnahmen, die eine Verabreichung auf diesem Weg verhindern, wie beispielsweise Wiederbelebung mit hochvolumigen Fl\u00fcssigkeiten, Infusion von venenrei\u00dfenden Medikamenten und langfristige parenterale Ern\u00e4hrung.<br \/>F\u00fcr die Wahl des Gef\u00e4\u00dfzugangs, der den Bed\u00fcrfnissen der kleinen Patienten entspricht, ist eine ad\u00e4quate fr\u00fchzeitige Evaluation erforderlich. Dabei sind folgende Faktoren einzubeziehen:<br \/>\u2022 Das K\u00f6rpergewicht des Fr\u00fch- und Neugeborenen<br \/>\u2022 Die Eigenschaften der zu verabreichenden Substanzen und die Kompatibilit\u00e4t zueinander<br \/>\u2022 Die Verf\u00fcgbarkeit von Zug\u00e4ngen bei einigen Patienten mit einem gef\u00e4hrdeten ven\u00f6sen Zugang<br \/>\u2022 Die voraussichtliche Dauer der Therapie<br \/>\u2022 Die H\u00e4ufigkeit von Komplikationen im Zusammenhang mit einem Produkttyp<\/p>\n<p>Zus\u00e4tzlich zu den beschriebenen Punkten muss sichergestellt werden, dass das Produkt der Wahl eine unterbrochene Therapie zul\u00e4sst und die Gef\u00e4\u00dfstruktur des Patienten erh\u00e4lt, um die Ergebnisse und Aussichten des Patienten zu verbessern.<br \/>Zusammenfassend kann man sagen, dass das medizinische Fachpersonal mit drei Kernfragen konfrontiert wird:<br \/>1. Was ist der richtige Kathetertyp?<br \/>2. Was ist die richtige Kathetergr\u00f6\u00dfe?<br \/>3. Wie viele Lumen muss der Katheter haben?<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8220;1_3&#8243; _builder_version=&#8220;4.16&#8243; custom_padding=&#8220;|||&#8220; global_colors_info=&#8220;{}&#8220; custom_padding__hover=&#8220;|||&#8220;][et_pb_image src=&#8220;https:\/\/www.vygon.de\/unternehmen\/wp-content\/uploads\/2022\/06\/AdobeStock_58453836.jpg&#8220; alt=&#8220;Fehlkonnektion-Regionalana\u0308sthesie&#8220; title_text=&#8220;AdobeStock_58453836&#8243; align_tablet=&#8220;right&#8220; align_phone=&#8220;center&#8220; align_last_edited=&#8220;on|phone&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; transform_scale=&#8220;131%|131%&#8220; width=&#8220;100%&#8220; max_height_tablet=&#8220;&#8220; max_height_phone=&#8220;369px&#8220; max_height_last_edited=&#8220;on|phone&#8220; custom_margin=&#8220;35%||||false|false&#8220; custom_margin_tablet=&#8220;20%||||false|false&#8220; custom_margin_phone=&#8220;0%||||false|false&#8220; custom_margin_last_edited=&#8220;on|tablet&#8220; animation_direction=&#8220;left&#8220; border_radii=&#8220;off|51px|||51px&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_image][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; specialty=&#8220;on&#8220; module_id=&#8220;risiken-section&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; background_color=&#8220;#f4f4f4&#8243; background_enable_image=&#8220;off&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;2_3&#8243; specialty_columns=&#8220;2&#8243; _builder_version=&#8220;4.16&#8243; custom_padding=&#8220;|||&#8220; global_colors_info=&#8220;{}&#8220; custom_padding__hover=&#8220;|||&#8220;][et_pb_row_inner _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; background_color=&#8220;RGBA(255,255,255,0)&#8220; custom_margin=&#8220;10px|10px|10px|10px|false|false&#8220; custom_padding=&#8220;10px|10px|10px|10px|true|true&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column_inner saved_specialty_column_type=&#8220;2_3&#8243; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; background_color=&#8220;#FFFFFF&#8220; custom_padding=&#8220;5%|5%|5%|5%|true|true&#8220; animation_style=&#8220;flip&#8220; animation_delay=&#8220;300ms&#8220; border_radii=&#8220;on|14px|14px|14px|14px&#8220; box_shadow_style=&#8220;preset2&#8243; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;Poppins|600|||||||&#8220; text_text_color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; custom_margin=&#8220;||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22text_text_color%22%93}&#8220;]<\/p>\n<p>Folgen<\/p>\n<p>[\/et_pb_text][et_pb_divider color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; divider_weight=&#8220;4px&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; width=&#8220;15%&#8220; custom_margin=&#8220;0px||0px||false|false&#8220; custom_padding=&#8220;0px||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22color%22%93}&#8220;][\/et_pb_divider][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; header_3_font=&#8220;Open Sans||||||||&#8220; header_3_text_color=&#8220;gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e&#8220; header_3_font_size=&#8220;25px&#8220; header_3_line_height=&#8220;1.3em&#8220; header_3_font_tablet=&#8220;&#8220; header_3_font_phone=&#8220;&#8220; header_3_font_last_edited=&#8220;on|phone&#8220; global_colors_info=&#8220;{%22gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e%22:%91%22header_3_text_color%22,%22header_3_text_color%22%93}&#8220;]<\/p>\n<p>Die fr\u00fchzeitige Wahl des Gef\u00e4\u00dfzugangs und eine ad\u00e4quate Evaluation mit Einbezug der bereits genannten Faktoren ist unumg\u00e4nglich, um dem Patienten die individuell auf ihn angepasste Therapie anzubieten.<br \/>Besonders im Bereich der Fr\u00fch- und kranken Neugeborenen ist die richtige Wahl des Kathetertyps essenziell, um eine erneute Platzierung eines Katheters zu verhindern oder gar eine Steigerung des Infektionsrisikos zu vermeiden.<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=&#8220;1_3&#8243; _builder_version=&#8220;4.16&#8243; custom_padding=&#8220;|||&#8220; global_colors_info=&#8220;{}&#8220; custom_padding__hover=&#8220;|||&#8220;][et_pb_image src=&#8220;https:\/\/www.vygon.de\/unternehmen\/wp-content\/uploads\/2022\/06\/Folgen-neonataler-zugang.jpg&#8220; alt=&#8220;Folgen-neonataler-zugang&#8220; title_text=&#8220;Folgen-neonataler-zugang-vygon&#8220; align_tablet=&#8220;right&#8220; align_phone=&#8220;center&#8220; align_last_edited=&#8220;on|phone&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; transform_scale=&#8220;94%|94%&#8220; width=&#8220;100%&#8220; max_height_tablet=&#8220;&#8220; max_height_phone=&#8220;369px&#8220; max_height_last_edited=&#8220;on|phone&#8220; custom_margin=&#8220;-6%||||false|false&#8220; custom_margin_tablet=&#8220;6%||||false|false&#8220; custom_margin_phone=&#8220;0%||||false|false&#8220; custom_margin_last_edited=&#8220;on|tablet&#8220; animation_style=&#8220;fade&#8220; animation_duration=&#8220;1400ms&#8220; border_radii=&#8220;off|51px|||51px&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_image][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; background_enable_image=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; background_enable_image=&#8220;off&#8220; parallax=&#8220;on&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;Poppins|600|||||||&#8220; text_text_color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; custom_margin=&#8220;||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22text_text_color%22%93}&#8220;]<\/p>\n<p>L\u00f6sungen<\/p>\n<p>[\/et_pb_text][et_pb_divider color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; divider_weight=&#8220;4px&#8220; admin_label=&#8220;Teiler&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; width=&#8220;15%&#8220; custom_margin=&#8220;0px||0px||false|false&#8220; custom_padding=&#8220;0px||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22color%22%93}&#8220;][\/et_pb_divider][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; header_3_font=&#8220;Open Sans||||||||&#8220; header_3_text_color=&#8220;gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e&#8220; header_3_font_size=&#8220;25px&#8220; header_3_line_height=&#8220;1.3em&#8220; header_3_font_tablet=&#8220;&#8220; header_3_font_phone=&#8220;&#8220; header_3_font_last_edited=&#8220;on|phone&#8220; global_colors_info=&#8220;{%22gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e%22:%91%22header_3_text_color%22,%22header_3_text_color%22%93}&#8220;]<\/p>\n<p><strong>Die Wahl des richtigen Kathetertyps:<\/strong><\/p>\n<p>Die Frage nach dem richtigen Kathetertyp richtig sich vor allen an die Faktoren: K\u00f6rpergewicht des Fr\u00fch- und Neugeborenen, die Eigenschaften der zu verabreichenden Substanzen, die Verf\u00fcgbarkeit von Zug\u00e4ngen und die voraussichtliche Dauer der Therapie.<\/p>\n<p>Der folgende Entscheidungsbaum soll bei der Entscheidung des richtigen Kathetertyps helfen:<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; background_image=&#8220;https:\/\/www.vygon.de\/unternehmen\/wp-content\/uploads\/2022\/06\/XXXX_Poster_Kathetermatrix-Neonatologie_12_11_21-BG-scaled.jpg&#8220; parallax=&#8220;on&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_image src=&#8220;https:\/\/www.vygon.de\/unternehmen\/wp-content\/uploads\/2022\/06\/XXXX_Poster_Kathetermatrix-Neonatologie_06_22.png&#8220; title_text=&#8220;XXXX_Poster_Kathetermatrix Neonatologie_06_22&#8243; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; header_3_font=&#8220;Open Sans||||||||&#8220; header_3_text_color=&#8220;gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e&#8220; header_3_font_size=&#8220;25px&#8220; header_3_line_height=&#8220;1.3em&#8220; header_3_font_tablet=&#8220;&#8220; header_3_font_phone=&#8220;&#8220; header_3_font_last_edited=&#8220;on|phone&#8220; global_colors_info=&#8220;{%22gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e%22:%91%22header_3_text_color%22,%22header_3_text_color%22%93}&#8220;]<\/p>\n<p><strong>Die Wahl der richtigen Kathetergr\u00f6\u00dfe:<\/strong><\/p>\n<p>Zur Veranschaulichung der Bedeutsamkeit der Wahl der richtigen Kathetergr\u00f6\u00dfe kann das Hagel-Poissel-Gesetz hinzugezogen werden:<\/p>\n<p>Der Radius (r) ist wie die Formel beweist, die Variable, die den gr\u00f6\u00dften Einfluss auf den Volumenstrom (V) hat. Wenn man diese Formel in den Kontext des Kathetermanagements transferiert, so erkennt man, dass die Kathetergr\u00f6\u00dfe eine signifikante Rolle f\u00fcr den Blutfluss spielt. D.h. wenn das Verh\u00e4ltnis von Katheter zu Gef\u00e4\u00df zunimmt, nimmt auch die Verringerung der Flussrate zu, bedeutet der Blutfluss verlangsamt sich. Die Einf\u00fchrung eines Katheters verlangsamt die Str\u00f6mung im Gef\u00e4\u00df um mindestens 50 %.<\/p>\n<p>Um die richtige Kathetergr\u00f6\u00dfe individuell f\u00fcr jeden Patienten bestimmen zu k\u00f6nnen, wird empfohlen, die Venen mittels Ultraschalles auszumessen. Um eine hohe Flussrate im Gef\u00e4\u00df aufrecht zu erhalten, sollte ein Venen-Katheter-Verh\u00e4ltnis von 1\/3 gew\u00e4hlt werden.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Die Wahl der richtigen Anzahl an Katheterlumen:<\/strong><\/p>\n<p>Grunds\u00e4tzlich sollte die geringstm\u00f6gliche Anzahl an Lumen gew\u00e4hlt werden, um eine Steigerung des Infektionsrisikos zu vermeiden. Jedoch sollten die Eigenschaften der\u00a0zu verabreichenden\u00a0<strong>Substanzen und die Kompatibilit\u00e4t <\/strong>zueinander in Augenschein genommen werden, um eine erneute Katheterplatzierung zu verhindern.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8220;1&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_row _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; custom_padding=&#8220;||1px||false|false&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; saved_specialty_column_type=&#8220;2_3&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; text_font=&#8220;Poppins|600|||||||&#8220; text_text_color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; text_orientation=&#8220;center&#8220; custom_margin=&#8220;||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22text_text_color%22%93}&#8220;]<\/p>\n<p>Neonataler vaskul\u00e4rer Zugang<\/p>\n<p>[\/et_pb_text][et_pb_divider color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; divider_weight=&#8220;4px&#8220; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; width=&#8220;100%&#8220; module_alignment=&#8220;center&#8220; custom_margin=&#8220;0px||0px||false|false&#8220; custom_padding=&#8220;0px||0px||false|false&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22color%22%93}&#8220;][\/et_pb_divider][et_pb_text disabled_on=&#8220;on|on|on&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; header_3_font=&#8220;Open Sans||||||||&#8220; header_3_text_color=&#8220;gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e&#8220; header_3_font_size=&#8220;25px&#8220; header_3_line_height=&#8220;1.3em&#8220; text_orientation=&#8220;center&#8220; header_3_font_tablet=&#8220;&#8220; header_3_font_phone=&#8220;&#8220; header_3_font_last_edited=&#8220;on|phone&#8220; disabled=&#8220;on&#8220; global_colors_info=&#8220;{%22gcid-f7280f3d-17cc-4d2a-9e34-a7b8316cf68e%22:%91%22header_3_text_color%22,%22header_3_text_color%22%93}&#8220;]<\/p>\n<h3>Neonataler vaskul\u00e4rer Zugang<\/h3>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; text_orientation=&#8220;center&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><strong>PICC <\/strong>(Peripherally Inserted Central Catheter) oder auch bekannt als <strong>Einschwemmkatheter <\/strong>sind auf der Neugeborenen-Intensivstation inzwischen ein g\u00e4ngiges und erfolgreiches Verfahren.<\/p>\n<p>Durch die enge Kooperation mit den Anwendern der Neonatologie und P\u00e4diatrie wird das Kathetersortiment von VYGON st\u00e4ndig optimiert und ausgebaut, um auch den k\u00fcnftigen Anforderungen der Anwender an die Sicherheit des Patienten gerecht zu werden.<\/p>\n<p><a href=\"#_ftnref1\" name=\"_ftn1\"><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8220;1_2,1_2&#8243; 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_module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.16&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_accordion open_toggle_text_color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; closed_toggle_background_color=&#8220;#ededed&#8220; icon_color=&#8220;gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19&#8243; use_icon_font_size=&#8220;on&#8220; icon_font_size=&#8220;25px&#8220; module_class=&#8220;my_accordion&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; toggle_font_size=&#8220;20px&#8220; toggle_line_height=&#8220;1.2em&#8220; body_font_size=&#8220;16px&#8220; body_line_height=&#8220;1.9em&#8220; custom_margin=&#8220;||||false|false&#8220; custom_padding=&#8220;||||false|false&#8220; custom_css_toggle=&#8220;margin-bottom: 10px!important;&#8220; global_colors_info=&#8220;{%22gcid-d08e7a08-b747-4a4e-bec9-6f46a3c29f19%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}&#8220;][et_pb_accordion_item title=&#8220;Warum sollte man einen neonatalen peripher eingef\u00fchrter Venenkatheter (PICC) verwendet werden?&#8220; open=&#8220;on&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; custom_margin=&#8220;||||false|false&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p>Um einen zuverl\u00e4ssigen mittel- bis langfristigen Zugang f\u00fcr die intraven\u00f6se Verabreichung aller Arten von Medikamenten und Arzneimitteln zu schaffen.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8220;Welche Sp\u00fcltechnik wird empfohlen?&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; custom_margin=&#8220;||||false|false&#8220; global_colors_info=&#8220;{}&#8220; open=&#8220;off&#8220;]<\/p>\n<p>Es wird die Push-Pause-Technik empfohlen. Dadurch werden Turbulenzen erzeugt, die das Innere des Katheters reinigen und dazu beitragen, die Fibrinbildung an der Katheterspitze zu verhindern, wodurch ebenfalls das Risiko einer Okklusion verringert wird.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.vygon.de\/unternehmen\/wp-content\/uploads\/2022\/06\/Stop-pause-spu\u0308len.png\" alt=\"\" width=\"800\" height=\"auto\" \/><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8220;Wie wird die erforderliche Katheterl\u00e4nge gemessen?&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; custom_margin=&#8220;||||false|false&#8220; global_colors_info=&#8220;{}&#8220; open=&#8220;off&#8220;]<\/p>\n<p>F\u00fcr Neu- und Fr\u00fchgeborene wird die 3-Stufen-Messtechnik empfohlen.<\/p>\n<ol>\n<li>Beginnen Sie an der Einstichstelle<\/li>\n<li>Messen Sie bis zur Mitte des Schl\u00fcsselbeins<\/li>\n<li>und endet entlang der rechten Brustwarzenlinie.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Die Position der Katheterspitze muss vor der Anwendung des Katheters durch eine nach krankenhausinternen Richtlinien best\u00e4tigt werden.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8220;Ist es m\u00f6glich, Blut und Blutprodukte \u00fcber 1Fr und 2Fr PICCs zu verabreichen oder zu entnehmen?&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220; open=&#8220;off&#8220;]<\/p>\n<p>Nein, das ist nicht empfohlen.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8220;Was sind die empfehlenden Flowraten, wenn der Katheter nicht f\u00fcr die Medikamenteninfusion verwendet wird?&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220; open=&#8220;off&#8220;]<\/p>\n<p>Es wird eine minimale Flowrate von 0,5 bis 1,0 ml\/h empfohlen.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8220;Was ist die richtige Position der distalen Katheterspitze?&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220; open=&#8220;off&#8220;]<\/p>\n<p>Bei peripher eingef\u00fchrtem Katheter muss sich die distale Spitze an dem \u00dcbergang zwischen der oberen Hohlvene und dem rechten Vorhof befinden, sodass der Katheter f\u00fcr alle Arten der medikament\u00f6sen Therapie verwendet werden kann (pH, Osmolarit\u00e4t).<\/p>\n<p>WARNUNG: F\u00fchren Sie die distale Spitze des Katheters niemals in den rechten Vorhof ein.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8220;Welche Spritzengr\u00f6\u00dfe sollten zum Sp\u00fclen eines 1Fr und 2Fr Katheter verwendet werden?&#8220; _builder_version=&#8220;4.17.0&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220; open=&#8220;off&#8220;]<\/p>\n<p>Benutzen Sie keine Spritzen kleiner als 10 ml, da diese sehr hohe Dr\u00fccke erzeugen k\u00f6nnen. Mit kleinen Spritzen kann von Hand ein Druck erzeugt werden, der 4bis 5-mal so hoch ist wie der<\/p>\n<p>maximal zul\u00e4ssige Druck. Ein Druck von mehr als 21,75 psi (1,5 bar, 1125 mmHg) kann zum Rei\u00dfen des Katheters und zu Embolien f\u00fchren. Kleine Spritzen erzeugen h\u00f6here Dr\u00fccke als gro\u00dfe Spritzen.<\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Der richtige Katheter f\u00fcr den richtigen Patienten zur richtigen Zeit<\/p>\n","protected":false},"featured_media":4990,"parent":0,"menu_order":0,"template":"page.php","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"1350","footnotes":""},"landingpage_category":[47],"class_list":["post-5020","landingpages","type-landingpages","status-publish","has-post-thumbnail","hentry","landingpage_category-neonatologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vaskul\u00e4rer Zugang - Vygon<\/title>\n<meta name=\"description\" content=\"Der richtige Katheter f\u00fcr den richtigen Patienten zur richtigen Zeit\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vygon.de\/unternehmen\/lp\/vaskulaerer-zugang\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vaskul\u00e4rer Zugang - 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