静脉注射药物使用者的保留碎片针:机构经验和治疗方案
Sanjib Rawat1, Reuben Lamiaki Kynta2, Bhupen Barman3
1Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Guwahati, Assam, India.
Tropical doctor
|October 3, 2023
概括
在静脉注射药物使用者 (IVDU) 中保留的针片可以造成严重伤害. 这项研究表明,破碎的针头可以安全地作为一天的手术去除,最大限度地降低患者和护理人员的风险.
科学领域:
- 医学案例研究 医学案例研究
- 进行手术检索.
- 患者安全 患者安全
背景情况:
- 静脉注射药物使用者 (IVDU) 面临着由保留的针片所带来的风险.
- 这些碎片可以导致严重的局部和全身并发症,包括显著的发病率和死亡率.
研究的目的:
- 审查机构的经验和IVDU的治疗方案,保留破碎的针.
- 突出与保留的针片相关的风险,并强调系统的管理方法.
主要方法:
- 在2019年1月至2020年12月期间,对六名IVDU患者进行了回顾性审查,这些患者保留了骨折的针头,呈现出2019年1月至2020年12月之间的情况.
- 纳入标准:IVDU病史,保留了破碎的针片.
- 所有碎片都在局部麻醉下成功地被移除,作为日间护理程序.
主要成果:
- 在IVDU中发现了6例保留的破裂针.
- 在局部麻醉下成功检索了所有针片段.
- 该程序成功地作为日托管理进行了.
结论:
- 在IVDU中保留的破裂针会带来重大风险,需要系统的管理策略.
- 针片段检索是一种可行的日托程序.
- 护理人员必须小心谨慎,以防止这些碎片造成阳性损伤.
相关概念视频
Prevention of Further Absorption of Poison
846
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
846
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
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


