一种修改后的方法来测量外围插入的中央导管的长度,以减少导管插入期间错位的风险
Tung-Chi Yeh1, Chia-Min Chen1, Chih-Hung Cheng1
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung.
SAGE open medicine
|October 13, 2023
概括
对于外围插入中心导管 (PICC) 长度的新测量方法可以减少错位. 与传统技术相比,这种修改后的技术显著减少了ICU患者的长时间PICC安置.
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:
- 周边插入的中央导管 (PICC) 插入可能导致错位,而"长时间的PICC放置"是一个问题.
- 由于胸壁厚度,传统的长度测量可能会高估所需的PICC长度.
- 开发了一种修改后的测量方法,以减轻高估和减少错位.
研究的目的:
- 评估一种修改后的方法来测量外围插入的中央导管长度.
- 确定修改后的方法是否减少了长时间外围插入中央导管的发生率.
- 为了比较修改后的方法与传统的测量技术的疗效.
主要方法:
- 追溯性研究设计,涉及48名医疗重症监护室患者.
- 胸部X射线被用来评估外围插入的中央导管尖端位置.
- 用传统和修改方法测量外围插入的中央导管长度.
主要成果:
- 修改测量组显示,与传统组 (29.41%) 相比,靠近目标的尖端位置的比率更高 (54.84%).
- 经过修改后的方法 (3.23%) 与传统的方法 (35.29%) (p=0.006) 相比,长时间的外围插入中央导管位置显著减少.
- 两组之间没有观察到其他类型的外围插入中央导管错位的显著差异.
结论:
- 经过修改的测量方法显示,在ICU患者中,有可能减少长时间外围插入中央导管的放置.
- 建议通过更大样本大小的前性研究进行进一步验证.
- 精确的外围插入的中央导管长度测量对于防止错位和确保患者安全至关重要.
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