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Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
新生儿血管接入实践和并发症:一项对1375天导管天的观察性研究
Colette McIntyre1, Deanne August, Linda Cobbald
1Women's and Newborns Service, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia (Mss McIntyre, August, Cobbald, Lack, Foxcroft, and Smith and Mr Koorts); Alliance for Vascular Access Teaching and Research (AVATAR), Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia (Mss August and Takashima and Dr Ullman); School of Nursing and Midwifery, Griffith University, Nathan, Queensland, Australia (Ms August and Dr Ullman); UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia (Ms Foxcroft); Nursing and Midwifery Centre for Research, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia (Drs Marsh, New, and Ullman); School of Nursing, Midwifery and Social Work, University of Queensland, St Lucia, Queensland, Australia (Drs Marsh, New, and Ullman); Children's Health Queensland and the University of Queensland, Brisbane, Queensland, Australia (Drs Irwin and Ullman); and School of Nursing, Queensland University of Technology, Kelvin Grove, Australia (Dr Marsh).
新生儿血管接入装置的使用显示出高失效率,特别是在外围静脉注射器. 低出生体重可能会降低新生儿周围IV衰竭的风险.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 血管接入装置是指血管接入装置.
- 临床实践研究研究临床实践研究
背景情况:
- 血管接入装置 (VAD) 在新生儿重症监护室 (NICU) 中至关重要.
- 了解插入和管理实践是优化VAD使用的关键.
- 与VAD相关的并发症显著影响新生儿的结局.
研究的目的:
- 确定新生儿重症监护室当前的VAD插入和管理实践.
- 为了确定VAD并发症和设备故障的发生率.
- 为了确定与VAD并发症和失败相关的风险因素.
主要方法:
- 在澳大利亚四级转诊NICU进行了3个月的前性队列研究.
- 包括104名新生儿在1375天内需要302个VAD.
- 收集关于实践,设备故障,并发症和皮肤并发症的数据;使用描述性统计和考克斯回归分析.
主要成果:
- 周围静脉导管 (PIVC) 是最常见的 (62%).
- 整体设备故障率为28%,其中PIVC的故障率最高 (37%).
- 透和扩散是PIVC失败的主要原因;较低的出生体重 (<1500g) 与PIVC失败的降低有关.
结论:
- 新生儿VAD使用与相当大的设备故障率有关.
- PIVC 显示出高失效率,通常是由于透/扩张.
- 出生体重是影响PIVC失败的重要因素,这表明定制的管理策略可能是有益的.

