三种不同的非药理学方法对在急诊室内外围静脉导管放置期间管成功的影响:一项随机对照试验
1General Surgery Clinic, İstanbul Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, 34865, Turkey.
BMC anesthesiology
|October 9, 2024
概括
在外周静脉导管注射之前,局部冷施用显著改善了静脉扩张,减少了手术时间和疼痛. 这种简单的干预措施提高了患者的舒适性和在紧急情况下的程序效率.
科学领域:
- 紧急医疗 紧急医疗
- 护理程序 护理程序
- 疼痛管理 疼痛管理
背景情况:
- 周围静脉注射导管 (PIVC) 在急诊室很常见,但具有挑战性和痛苦.
- 优化PIVC成功和患者舒适是临床的首要任务.
研究的目的:
- 评估局部热量,寒冷和振动对静脉扩张,手术持续时间和成人PIVC期间疼痛的影响.
- 评估年龄和性别对PIVC期间疼痛强度的影响.
主要方法:
- 一个单盲随机对照试验,涉及120名接受PIVC的成年人.
- 干预组接受了1分钟的局部热,冷或振动 (Buzzy设备) 应用.
- 对照组接受了标准PIVC;结果使用静脉评估尺度,视觉模拟尺度和计时器进行测量.
主要成果:
- 与热和振动相比,冷应用显著增加了静脉扩张 (p<0.015).
- 冷应用显著减少了手术的持续时间,而不是热和振动 (p<0.013).
- 与对照剂,热剂和振动剂相比,冷剂的应用显著降低了疼痛严重程度 (p<0.002).
结论:
- 一分钟的局部冷剂有效增强静脉扩张,缩短PIVC手术时间,减少疼痛.
- 寒冷应用是一种有希望的非侵入性方法,可以改善成人患者的PIVC体验.
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