红外射线静脉可视化的有效性与婴儿和幼儿群体周围静脉注射标准技术相比:一项随机研究
Graham Fehr1, Marisa Rigali2, Gregory Weller3
1Department of Anesthesiology, Children's Hospital of King's Daughters, Norfolk, VA 23507, USA.
Children (Basel, Switzerland)
|October 28, 2023
概括
与标准技术相比,红外 (IR) 静脉可视化并没有改善婴儿和幼儿的静脉注射 (IV) 接入成功率. 然而,红外装置在困难的静脉注射管试验中起到了宝贵的救援作用.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 医疗器械技术 医疗器械技术
背景情况:
- 在婴儿和幼儿中建立周围静脉 (IV) 接入具有挑战性.
- 红外线 (IR) 静脉可视化有助于静脉通道,但对幼儿的数据有限.
研究的目的:
- 为了比较红外静脉可视化的疗效与婴儿和幼儿外周静脉接入的标准通道.
- 为了评估成功率,尝试数量和道化时间.
主要方法:
- 随机对照试验比较标准的IV通道与IR静脉可视化装置.
- 获得了知情同意和IRB批准.
- 主要结果:静脉注射管成功率;次要结果:尝试,注射管的时间.
主要成果:
- 第一次尝试成功率没有显著差异 (61.25%对54.4%,p=0.4).
- 在建立IV接入的时间上没有显著的差异 (中位数为40s与53s,p=0.55).
- 预期的困难是导管成功的重要预测因素 (p=0.0016).
结论:
- 在这个人群中,红外线静脉可视化在常规IV接入的标准技术上没有显著的好处.
- 该设备在预期难以进入静脉注射的情况下,是一个有价值的救援辅助器.
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