使用Esmarch带不会增加健康志愿者的外周静脉大小:一项随机临床试验
Robert Paterson1, Brian Euerle2, Alexis Salerno2
1Department of Emergency Medicine, Atrium Health Wake Forest Baptist Health, Winston-Salem, NC, United States of America.
The American journal of emergency medicine
|June 29, 2024
概括
埃斯马奇带不会增加基底静脉的大小,用于超声波引导的外周静脉管. 这种方法也导致患者的不适增加,而不是标准的带.
科学领域:
- 紧急医疗 紧急医疗
- 血管接入 血管接入
- 医疗器械 医疗器械
背景情况:
- 超声指导对于周围静脉注射 (PIV) 管在难以进入静脉注射的患者中至关重要.
- 建议使用远距离至近距离应用的Esmarch带来增加静脉大小并方便PIV插入.
研究的目的:
- 为了评估Esmarch带在增加基底静脉大小的疗效,用于超声导向PIV管.
- 为了比较患者使用Esmarch带与围与单独围之间的不适程度.
主要方法:
- 一个单盲,交叉随机受控试验与22名健康志愿者进行.
- 基底静脉直径使用超声波测量,使用和没有Esmarch带结合标准的静脉带.
- 收集了参与者报告的不适度得分,并将这两种情况进行比较.
主要成果:
- 在带+埃斯马奇带组 (6.0 ± 1.5毫米) 和单独使用标准带组 (6.0 ± 1.4毫米;p=0.89) 之间没有观察到平均基底静脉直径的显著差异.
- 平均不适度得分在环 + Esmarch 带组 (2.1) 与单独使用标准环组 (1.1; p < 0.001) 相比显著更高.
结论:
- 在健康的志愿者中,使用Esmarch带不会增加基底静脉的大小.
- 使用Esmarch带与带一起使用会增加患者的不适,而不会改善静脉直径.
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