红外设备与成人周围静脉导管插入的传统触摸方法相比:系统性审查和元分析
Bertrand Drugeon1,2,3, Jessica A Schults3,4,5, Gillian Ray-Barruel3,4,5
1CHU de Poitiers, Service des Urgences Adultes-SAS 86-Centre 15, Poitiers, France.
与传统的触摸相比,红外 (IR) 设备并不能显著改善外周静脉导管 (PIVC) 插入的首次尝试成功. 证据不支持它们在成年人PIVC手术中的常规使用.
科学领域:
- 医疗器械 医疗器械
- 临床干预 临床干预
- 基于证据的实践.
背景情况:
- 外周静脉导管 (PIVC) 插入是一种常见但具有挑战性的程序.
- 难以静脉通道 (DIVA) 患者通常需要多次尝试.
- 红外 (IR) 设备旨在改善PIVC插入的静脉可视化.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT).
- 为了比较红外设备与传统触摸的疗效,在成年人中首次尝试PIVC的成功.
主要方法:
- 五项涉及690名患者的RCT的系统审查和元分析.
- 搜索了主要的数据库 (PubMed,Embase等) 从2000年1月起开始.
- 使用RoB2工具评估偏差风险;应用随机效应模型.
主要成果:
- 第一次尝试PIVC的成功率相似:42%的IR设备与38%的触摸相比 (RR1.08).
- 在总体成功,尝试,管时间或患者疼痛方面没有发现显著差异.
- 观察到显著的临床和统计异质性 (I2=83%).
结论:
- 目前的证据不支持用于PIVC插入的IR设备的常规使用.
- 需要进一步进行高质量的研究,以确定红外线设备的作用,特别是在专业环境中.
- 在常规的临床实践中,IR设备的有限好处得到了突出强调.
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