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对于新生儿外周静脉导管治疗的近红外信息聚集:干预前后的研究

Deanne August¹, Nicole Marsh, Stephanie Hall

¹Author Affiliations: School of Nursing, Midwifery and Social Work (Drs August, Marsh, and Ullman), University of Queensland, St Lucia, Queensland, Australia; Alliance for Vascular Access Teaching and Research (AVATAR) Group (Drs August and Ullman), Griffith University, Gold Coast, Queensland, Australia; Women's and Newborns Service, Grantley Stable Neonatal Unit, Nursing and Midwifery Research Centre (Drs August and Marsh, Mss Hall and Cobbald, Mr Koorts, Dr McLaughlin, and Mss Lack, Iminof, and Foxcroft), Royal Brisbane and Women's Hospital, Herston, Queensland, Australia; School of Nursing and Midwifery (Dr Marsh, Ms Hall, and Dr Ullman), School of Medicine and Dentistry (Ms Royle and Dr Ware), Griffith University, Nathan, Queensland, Australia; Faculty of Medicine (Drs McLaughlin and Foxcroft), The University of Queensland, Brisbane, Australia; and Children's Health Queensland Hospital and Health Service (Drs August and Ullman), Brisbane, Queensland, Australia.

The Journal of perinatal & neonatal nursing

|February 20, 2025

概括

近红外线 (NIR) 并没有改善新生儿外周静脉导管 (PIVC) 插入的首次成功. 然而,这种方法提高了PIVC停留时间和文档,这表明未来可能改善新生儿血管接入.

科学领域:

新生儿护理新生儿护理
医疗器械实施医疗器械实施
血管接入血管接入

背景情况:

新生儿外周静脉导管 (PIVC) 插入具有挑战性,失败率很高.
提高首次插入成功率和尽量减少并发症对于新生儿患者的治疗结果至关重要.
近红外 (NIR) 技术为引导血管接入程序提供了潜在的潜力.

研究的目的:

实施和评估近红外线 (NIR) 的有效性,用于新生儿PIVC插入.
评估NIR对首次插入成功,停留时间和并发症的影响.
为了确定NIR设备集群实现的合规性,实用性和可接受性.

主要方法:

一个实施项目评估了PIVC插入结果的三个阶段:基线,教育和使用NIR聚集的干预.
收集的数据包括插入尝试,位置,插入器,停留时间和并发症.
后勤回归分析了研究阶段与首次插入成功之间的关联;探索性分析确定了PIVC失败的风险.

主要成果:

在五个月的时间里,在248名新生儿身上分析了771个PIVC道.
初次插入成功率在基线时为56.9%,在教育阶段为39.5%,没有显著差异.
拥挤过程的可接受性 (平均7.5/10) 比NIR设备本身 (平均5.0/10) 高;前臂插入的故障率更高 (OR 5.94).

结论:

在新生儿中,NIR huddles的实施并没有显著改善首次PIVC插入成功.
该研究表明,在NIR集群实施后,PIVC停留时间和文档有所改善.
建议进行进一步的研究,以优化新生儿血管接入,并最大限度地减少损害.

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