在医院医生经营的医疗程序服务中对外周内内静脉导管进行试点研究
Jonathon Heath1, Erin Finn1, Ria Dancel1
1Department of Medicine, Division of Hospital Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Journal of hospital medicine
|September 26, 2023
概括
外周内 (PIJ) 导管为难以静脉输入的患者提供了较少侵入性的中央静脉导管 (CVC) 替代方案. 一项试点研究显示,PIJ导管使用的成功率高,并发症为零.
科学领域:
- 医疗器械 医疗器械
- 血管接入 血管接入
- 患者安全 患者安全
背景情况:
- 中枢静脉导管 (CVC) 常用于入院患者的难以静脉输入 (DIVA).
- CVC 携带机械并发症和感染的风险.
- 外周内 (PIJ) 导管是一种潜在的不那么创伤的替代方案.
研究的目的:
- 评估使用PIJ导管在患有DIVA的住院患者中的可行性和结果.
- 在并发症和风险方面,将PIJ导管的性能与传统的CVC进行比较.
主要方法:
- 一个试点项目涉及医疗程序服务,在两年内放置PIJ导管.
- 收集关于安置成功率,使用时间和导管失效率的数据.
- 基于使用的不同类型PIJ导管的故障率的分析.
主要成果:
- 在32名患者中成功安置了35个PIJ导管中的34个 (97%).
- 在研究期间报告的并发症为零.
- 在7天内导管失效率为32.4%,与较短的血管导管导线导入器 (69.2%) 相比,较长的中线导管 (9.5%) 显着较低.
结论:
- 可以成功地将PIJ导管安装在DIVA患者身上,成功率很高,没有并发症.
- 选择PIJ导管类型显著影响其耐用性,较长的中线导管表现更好.
- PIJ导管可以减少与CVCs相关的风险,对于需要血管接入的入院患者进行选择.
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