扩展植入血管接入装置的安全性 维护 冲洗频率
Monica McManus1, Mary Jo Sarver1, Elizabeth Ser2
1Providence Regional Medical Center Everett.
Clinical journal of oncology nursing
|September 7, 2023
概括
扩大植入血管接入装置 (IVAD) 的冲洗频率超出制造商建议可能是安全的,因为当冲洗延迟至17周时,25%的患者没有出现不良发现.
科学领域:
- 医疗器械 医疗器械
- 瘤学 护理 护理专业
- 血管接入 血管接入
背景情况:
- 目前的指导方针缺乏关于植入血管接入装置 (IVAD) 最佳冲洗间隔的明确证据.
- 制造商建议每4周冲洗一次,而一些指南表明12周可能是安全的.
- 由于对潜在风险的担忧,COVID-19大流行促使对IVAD维护进行了审查.
研究的目的:
- 审查目前对IVAD冲洗维护频率的护理标准.
- 检查IVAD中的血液特征,当冲洗延迟超过4周时.
- 为了确定是否需要进一步的研究,以获得最佳的IVAD冲洗频率.
主要方法:
- 在COVID-19大流行期间,从门诊瘤诊所收集数据.
- 使用一种新的方法,在冲洗之前观察IVAD内的生理特征.
- 从设备中吸入的异常外观的物质在注射之前被丢弃.
主要成果:
- 在25%的观察患者中,观察到可见的血块和血液外观的改变.
- 在59名患者中进行了观察,这些患者的发红时间延迟,从8周到17周以上.
- 据报道,没有有害物质被冲进患者体内.
结论:
- 延迟IVAD冲洗超过4周可能对一些患者来说是安全的,在四分之一的病例中看到可见的血块或改变的外观.
- 需要进一步的研究,以建立基于证据的IVAD的最佳冲洗频率.
- 开发的方法允许在冲洗之前对IVAD内容进行安全评估.
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