超声指导穿刺与常规技术为动脉血液气体分析采样在成年人:一个系统的审查
P Romo-Miguel1, S Ballesteros-Peña2
1Unidad de Cuidados Intensivos, Osakidetza, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, Spain.
Enfermeria intensiva
|March 7, 2024
概括
超声波导向的动脉穿刺可以改善第一次尝试的成功,并减少疼痛,与传统的方法相比,用于大人的动脉血液气体采样. 由于证据有限而多样化,需要进一步研究.
科学领域:
- 医疗程序 医疗程序
- 诊断技术 诊断技术
- 紧急医疗 紧急医疗
背景情况:
- 动脉血液气体 (ABG) 采样对于评估呼吸和代谢状态至关重要.
- 采用传统的穿刺方法进行ABG采样可能具有挑战性,成功率可变,并可能导致患者的不适.
- 超声指导越来越多地被探索以提高程序准确性和患者体验.
研究的目的:
- 为了比较超声波指导穿刺与常规穿刺在成年患者的ABG采样中的有效性.
- 评估关键结果,包括第一次尝试成功,尝试数量,手术时间和患者报告的疼痛.
主要方法:
- 在Medline,Cochrane和Dialnet数据库中进行了系统的文献搜索.
- 包括2013年1月至2023年1月期间发表的英语或西班牙语随机临床试验.
- 提取和分析了手术成功,疼痛,时间和患者/专业经验的数据.
主要成果:
- 分析了五项随机临床试验,涉及50-238名成年患者.
- 四分之三的研究表明,超声指导的首次尝试成功率更高.
- 在四项研究中,有两项报告说,使用超声波减轻了阳性疼痛;对手术时间和尝试数量的发现不一致.
结论:
- 有限且异质的证据表明,超声波引导的动脉穿刺比传统方法具有潜在的益处.
- 超声指导可以提高ABG采样的第一次尝试成功率.
- 减少患者报告的阳性疼痛是使用超声波指导的潜在优势.
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