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POCUS增加了未经验的提供者在新生儿身上成功放置外围动脉线的机会

Reedhi Dasani¹, Vidya V Pai², Caroline Y Noh^3,4

¹Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 453 Quarry Rd, Palo Alto, Stanford, CA, 94304, USA. rdasani@stanford.edu.

European journal of pediatrics

|August 24, 2023

概括

在新生儿中,对外围动脉线 (PAL) 放置的护理点超声波 (POCUS) 的使用,特别是经验较少的提供者,减少了成功插入所需的尝试数量. 这有助于改善新生儿重症监护病房的患者护理.

科学领域:

新生儿医学新生儿医学
医学超声波医学超声波
临床程序临床程序

背景情况:

新生儿的外周动脉线 (PAL) 放置传统上是使用触摸进行的,这可能是具有挑战性的.
护理点超声波 (POCUS) 越来越多地用于新生儿重症监护室 (NICU),越来越多的临床医生可以使用这种技术.
在NICU中经验较少的提供者正在获得临床程序的超声波.

研究的目的:

评估在新生儿重症监护室安置外围动脉线 (PAL) 的护理点超声波 (POCUS) 计划实施的有效性.
为了比较PAL安置的成功率和尝试数量,有和没有POCUS指导.

主要方法:

在2019年1月至2021年3月期间成功接受PAL安置的婴儿的回顾性图表审查.
收集的数据包括第一次尝试的成功和PAL安置的尝试总数.
分析对POCUS指导和非POCUS指导安置之间的结果进行了比较.

主要成果:

在80个PAL中,有36%的人被POCUS指导.
所有POCUS指导线路均由具有不到5年新生儿学经验的提供者设置.
在体重2.5公斤或以上的婴儿中,POCUS使用与非POCUS放置相比,POCUS使用的尝试明显减少 (1对2,p=0.035).

结论:

在重量为2.5公斤或以上的新生儿中,POCUS引导的PAL安置与较少的尝试有关.
当POCUS被具有较少新生儿学经验的提供者使用时,这种好处尤其被注意到.
在这一群体中,POCUS代表了提高动脉线布置效率的宝贵工具.

关键词:

动脉的线路是动脉的线路.教育教育教育教育教育教育.新生儿新生儿新生儿超声波超声波是指超声波的使用.

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