引入超声波导向的较长长度外围IV导管,用于难以进入静脉的患者
Julie Godfrey1, Luigi Gallipoli2
1Lead Vascular Access Consultant Nurse, Mid and South Essex NHS Foundation Trust.
概括
在超声指导下实施较长的外周静脉导管 (LPIVC) 显著提高了难以进入静脉 (DVA) 患者的第一次尝试成功率. 这种方法提高了患者的体验,并减少了成本和浪费.
科学领域:
- 医疗器械 医疗器械
- 超声波技术 超声波技术
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 外周静脉导管 (PIVC) 插入的失败率很高.
- 难以进入静脉 (DVA) 是一个重大的临床挑战.
- 改善PIVC插入成功对于患者护理和资源管理至关重要.
研究的目的:
- 在DVA患者的超声指导下评估更长长的外周静脉导管 (LPIVC) 的有效性.
- 评估第一针成功率,停留时间和整体导管成功率的改善.
- 为了比较LPIVC与中线插入产生的成本和浪费.
主要方法:
- 一个质量改善项目,涉及386名DVA患者.
- 实施一条LPIVC途径,培训护士进行超声波导导管.
- 收集关于插入尝试,停留时间和移除原因的数据.
- 成本和废弃物分析,将LPIVC与中线插入进行比较.
主要成果:
- 在超声指导下,LPIVC的首次成功率为95.0%.
- 观察到的停留时间从1到80天不等.
- 报告了83.6%的LPIVCs治疗成功率.
- 发现LPIVC插入比中线插入便宜了89.22英,每次过程产生的废物比中线插入少1公斤.
结论:
- 超声波引导的LPIVC插入为DVA患者提供了非常高的首次成功率.
- 这种方法通过尽量减少插入尝试来改善患者体验.
- 福利包括提高护理效率,减少临床浪费和降低设备成本.
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