在初级部或膝关节关节整形手术前的患者中,超声引导和触摸插入的外周静脉管的比较:随机对照试验的研究方案
Jakub Hlasny1, Roman Alberty2, Marian Hlavac3
1Department of Anaesthesia and Intensive Care, Slovak Medical University, F. D. Roosevelt University Hospital, Banska Bystrica, Slovakia. hlasny.jakub@gmail.com.
Trials
|July 21, 2023
概括
超声导向血管接入 (UGVA) 可以改善周围静脉管 (PVC) 插入的成功和功能,长达5天. 这种方法可以减少患者的压力,节省宝贵的手术室时间.
科学领域:
- 医疗器械 医疗器械
- 血管接入 血管接入
- 超声波成像 超声波成像
背景情况:
- 周围静脉管 (PVC) 对于医疗程序至关重要,全球每年插入数十亿人.
- 难以静脉注射 (DIVA) 存在挑战,影响患者护理和资源利用.
- 超声导向血管接入 (UGVA) 被专家认为是管的优越方法.
研究的目的:
- 为了比较UGVA与传统触摸在超重/肥胖患者的外周静脉小管插入的疗效.
- 评估通过UGVA插入的管的短期通透性和功能,与触摸相比.
- 评估UGVA在治疗后5天内通过管促进血液抽取的潜力.
主要方法:
- 一个前性的,随机的,单中心的受控试验,涉及200名接受选择性关节或膝关节关节整形手术的患者.
- 患者被分配到通过触摸 (C组) 或超声导向血管接入 (USG组) 进行外周静脉管插入.
- 主要终点:试图插入小管的次数;次要终点:小管失效率,抽血能力,插入时间,针转向和重新插入率.
主要成果:
- 这项研究旨在确定UGVA是否减少了超重/肥胖患者的插入尝试与触摸相比.
- 调查手术后保持管通透性和功能长达5天的成功率.
- 评估通过通过UGVA插入头获得血液样本的可行性.
结论:
- 这项实用性试验寻求临床相关的数据,了解UGVA在插入之外的好处.
- 结果将澄清UGVA是否提供长达5天的持续效益,并促进抽血,可能节省资源.
- 假设的证实可能会导致UGVA在外科手术期间更广泛地采用,解决医疗人员短缺问题.
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