包裹和固定装置,以防止外围动脉导管的并发症
Jessica A Schults1,2,3, Heather Reynolds3,4,5, Claire M Rickard1,2,3,6
1Herston Infectious Diseases Institute, Nursing Midwifery Research Centre, Metro North Health, Brisbane, Australia.
The Cochrane database of systematic reviews
|May 23, 2024
概括
有限的证据表明,不同装饰和固定装置之间的动脉导管 (AC) 故障或并发症没有明显的差异. 需要进一步进行严格的试验,以减少关于最佳AC护理的不确定性.
科学领域:
- 医疗器械 医疗器械 医疗器械
- 临床试验中的临床试验.
- 感染控制的方法是感染控制.
背景情况:
- 周围动脉导管 (AC) 对于重症监护监测至关重要,但经常失败.
- 包裹和固定装置对于维持AC功能和防止感染等并发症至关重要.
研究的目的:
- 评估外围交流和固定装置在防止交流故障和并发症方面的有效性.
主要方法:
- 系统地搜索多个数据库和临床试验注册表,直到2023年5月.
- 包括五项随机对照试验 (RCT),涉及1228名参与者.
- 使用既有工具评估偏见风险和证据确定性 (Cochrane的RoB 1,GRADE).
主要成果:
- 纳入了5个RCT,共有1228名参与者,所有RCT都有高偏差风险.
- 非常低至低确定性证据显示,在各种设备 (SPU,BPU,SSD,TA,集成固定) 中,AC故障,导管相关血流感染 (CRBSI),脱落,阻塞或不良事件中没有明显的差异.
结论:
- 有限严格的RCT证据存在关于AC装饰和固定产品的比较有效性.
- 目前的证据,尽管有局限性,表明在研究的设备之间,在交流故障或并发症中没有明显的差异.
- 需要进一步进行高质量的RCT来解决不确定性,并指导最佳选择交流固定装置.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
138
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,...
138
Pre-Procedural Guidelines for Assessing Blood Pressure
559
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
559
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Assessment of the Cardiovascular System III: Palpation
311
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
311
Assessing Blood pressure in the Leg
2.4K
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Preparation:
2.4K
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K


