近红外光设备与重症监护室外围静脉接入的里程碑式方法相比:随机对照研究的协议
Aude Ferrier1, Amélie Despres2, Aurélie Brasselet3
1Centre Hospitalier Universitaire d'Orléans, Orléans, France aude.ferrier@chu-orleans.fr.
BMJ open
|August 19, 2025
概括
近红外光设备可以提高周围静脉导管 (PVC) 放置在重症监护中的成功. 这项技术通过辅助可视化来帮助护士,从而有可能减少重症患者多次尝试的需要.
科学领域:
- 临界护理医学 临界护理医学
- 血管接入 血管接入
- 医疗器械技术 医疗器械技术
背景情况:
- 中枢静脉导管 (CVC) 需要及时移除,以尽量减少重症监护室 (ICU) 感染风险.
- 在CVC切除后,通常需要外周静脉通道,但由于患者的胀,可能很困难.
- 近红外光 (NIL) 装置提供了一种非侵入性方法,可以帮助护士进行外周静脉导管.
研究的目的:
- 为了评估一个NIL设备 (AccuVein AV500) 是否提高了外周静脉导管 (PVC) 放置的第一次尝试成功率.
- 为了比较NIL辅助PVC插入与重症患者传统的里程碑式方法的疗效.
- 评估NIL技术对重症监护中血管接入的护理程序的影响.
主要方法:
- 一个前性的,多中心的,随机对照的优越性试验,将NIL设备与PVC插入的基准方法进行比较.
- 三百八十名现有CVC不再适用的危急病患者将随机分为两个平行组.
- 根据中心的分层和外周静脉通道的预期困难将被采用.
主要成果:
- 该部分应在研究完成和数据分析后填写.
- 主要结果是PVC放置的第一次尝试成功率.
结论:
- 该部分应在研究完成和数据分析后填写.
- 这项研究旨在提供关于NIL设备在改善临界护理机构外围静脉通道的实用性的证据.
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