儿科中央静脉接入装置监测和圆形化团队的有效性:单中心研究
Shojiro Hanaki1, Shuichi Katayama1, Soichi Nakada1
1Division of Pediatric Surgery, Department of General Surgery, Kurashiki Central Hospital, Kurashiki, JPN.
Cureus
|May 9, 2024
概括
一个专门的儿科团队显著减少了儿童癌症患者的中央静脉接入装置 (CVAD) 脱位和局部感染. 这一监测和圆形化倡议改善了CVAD护理和患者安全.
科学领域:
- 儿科瘤学 儿科瘤学
- 医疗器械管理 医疗器械管理
- 感染控制 感染控制
背景情况:
- 中枢静脉接入装置 (CVAD) 对于儿科癌症治疗至关重要,但会带来感染和位等风险.
- 来自CVAD的并发症可能导致严重的后果,包括延长住院时间和增加死亡率.
- 为减轻这些风险,实施了儿科CVAD监测和圆形化小组.
研究的目的:
- 评估儿科CVAD监测和圆形化团队对并发症率的影响.
- 评估儿童瘤患者CVAD管理和护理方面的改进.
- 确定多学科团队方法在提高CVAD安全性的有效性.
主要方法:
- 日本库拉希基中央医院的一项单中心回顾性研究.
- 从2018年1月到2022年12月,包括儿童癌症患者 (<18岁) 在CVAD中.
- 每周使用检查清单进行监测,比较团队实施前后的并发症率.
主要成果:
- 显著减少 CVAD 位移 (28.6% 至 0%, p=0.001).
- 局部感染的显著减少 (17.9%至2.6%,p=0.04).
- 对血栓形成,导管断裂和CRBSI观察到有利的趋势,尽管在统计学上并不显著.
结论:
- 儿科CVAD监测和圆形化小组有效地减少了脱位和局部感染.
- 这种多学科的方法强调了持续监测,团队合作和教育的价值.
- 实施这些团队对于改善儿科CVAD护理质量和患者的治疗结果至关重要.
更多相关视频
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
144
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
144
01:30Pulse rhythm
786
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
786