在仅使用外周血管接入的儿科急诊中,门诊亲肠治疗的结果和并发症:一项回顾性描述性研究
Nasser A Haidar1, Mohammed N AlAmri1, Fysel L Manthattil1
1From College of Medicine (Haidar, AlAmri), Qatar University, and from the Department of Pediatric Emergency (Haidar, AlAmri, Manthattil, AlShaof, AlKuhali), Hamad General Hospital, Doha, Qatar.
Saudi medical journal
|September 30, 2023
概括
使用外围IV的门诊亲肠道治疗 (OPT) 对精选的儿科患者来说是安全有效的,可以实现高治愈率,并可控并发症. 这种方法为住院提供了一个不那么破坏性的替代方案.
科学领域:
- 儿科急救医学 儿科急救医学
- 静脉注射疗法 静脉注射疗法
- 医疗保健管理的管理
背景情况:
- 门诊侧肠治疗 (OPT) 为需要静脉注射药物的儿科患者提供了住院护理的替代方案.
- 周围血管接入是这种疗法的常见途径.
研究的目的:
- 评估门诊亲肠道治疗 (OPT) 的治愈和并发症率,仅通过外周血管接入给儿科患者.
- 在儿科紧急情况下评估外围IV-onlyOPT的安全性和有效性.
主要方法:
- 从2018年1月到2019年4月在OPT单位管理的儿科患者 (15岁以下) 的回顾性描述性研究.
- 分析医疗图表以确定治愈率,并发症率和治疗结果.
- 专注于通过外周血管接入接受OPT的患者.
主要成果:
- 在OPT部门的2,126名患者中,99.3%的患者实现了重新入院避免和完全康复.
- 21%的患者出现并发症,主要与血管接入有关,大多数通过管再插入进行管理.
- 由于并发症,只有0.5%的病例需要修改治疗.
结论:
- 使用外围血管通道的门诊亲肠道治疗对于精心挑选的儿科急诊患者来说是有效和安全的.
- 这种方法证明了可控的并发症率,并可能减少与住院相比的家庭干扰.
- 只有外周IV的OPT是特定儿科患者群体的可行选择.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
201
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
201
Hemodialysis II: Procedure and Complications
27
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
27
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
26
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
26
Hemodialysis I: Introduction
39
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
39


