在急诊室实施增强成人DIVA评分:一项前性观察性研究
Domenica Petta1, Yari Longobucco2, Camilla Elena Magi2
1Emergency Department, San Giuseppe Hospital, Empoli, Italy.
The journal of vascular access
|January 16, 2025
概括
增强成人DIVA (EA-DIVA) 评分有效地识别了急诊室 (ED) 难以静脉注射的患者 (DIVA). 建议在EA-DIVA评分为6的情况下启动超声波指导技术,以提高管成功率.
科学领域:
- 紧急医疗 紧急医疗
- 血管接入 血管接入
- 临床评估工具 临床评估工具
背景情况:
- 短外围导管 (SPC) 放置对于患者护理至关重要.
- 难以静脉注射 (DIVA) 影响大约11%的成年急诊室 (ED) 患者.
- 增强成人DIVA (EA-DIVA) 评分有助于识别患有DIVA的患者.
研究的目的:
- 通过EA-DIVA尺度来确定ED中DIVA的流行率.
- 评估DIVA和没有DIVA的患者静脉管的时间.
- 为采用超声波指导技术制定EA-DIVA得分门.
主要方法:
- 在ED环境中进行的前性观察研究.
- 包括需要SPC安置的成年患者.
- 护理人员使用标准的SPC安置技术.
主要成果:
- 在1280名患者中,有29.22%的患者需要多次管试验.
- 较高的EA-DIVA分数与更长的注射时间和尝试相关.
- 6的EA-DIVA值显示了超声指导的高灵敏度 (96.52%) 和特异性 (81.37%).
结论:
- 在ED环境中成功实现了EA-DIVA比例表.
- 与之前的研究相比,超声指导的切断分数较低.
- 建议在不同的环境和不同专业水平进行进一步验证.
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