在急诊室的血管接入装置中对随机对照试验的范围审查
Hui Grace Xu1, Yang Camila Zhao2, Jed Duff3
1School of Nursing, Queensland University of Technology, Kelvin Grove, Brisbane, QLD, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Brisbane, QLD, Australia; Emergency Department, Queen Elizabeth II Jubilee Hospital, Queensland Health, Australia.
Australasian emergency care
|April 15, 2025
概括
本综述综合了来自48项随机对照试验的证据,这些试验涉及急诊室的血管接入装置 (VAD). 结果指导临床医生选择最佳的VAD,以改善患者的护理和满意度.
科学领域:
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
- 医疗器械 医疗器械
背景情况:
- 血管接入装置 (VAD) 对于在急诊室 (ED) 快速提供治疗至关重要.
- 需要综合证据来指导临床实践和ED环境中VAD的研究重点.
研究的目的:
- 系统地审查和综合随机对照试验 (RCT) 的研究结果,评估紧急部门的VAD.
- 确定目前关于VAD技术和临床应用技术的证据.
主要方法:
- 使用了一个全面的范围审查框架 (Arksey和O'Malley).
- 从2012年到2024年,在四个数据库中进行了搜索.
- 包括集中于ED环境中的外周静脉,中央静脉,动脉或骨内导管的RCT.
主要成果:
- 包括48个RCT,主要用于外周静脉导管 (85%).
- 研究的干预措施包括可视化技术,导管设计,敷料和疼痛管理技术.
- 报告的关键结果是插入成功,插入时间和导管相关的并发症.
结论:
- 本综述为ED临床医生提供了VAD技术和技术的最新证据.
- 研究结果支持选择和实施有效的VAD策略,以提高患者的护理.
- 优化VAD使用可能会降低成本并提高患者满意度.
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