三个外围插入的中央导管插入技术对导管结局的影响:一项随机对照试验
Lan Li1, Xinlei Wu2, Lihui Lin3
1Department of Pediatrics, Intravenous Therapy Specialty Clinic, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
International journal of nursing studies
|September 27, 2025
概括
与外围插入中心导管 (PICC) 的传统方法相比,单针皮下道导管治疗提供了更好的结果. 这种技术提高了穿刺成功率,减少了出血和疼痛,使其成为临床实践的理想选择.
科学领域:
- 医疗程序 医疗程序
- 血管接入装置 血管接入装置
- 临床试验 临床试验
背景情况:
- 目前的外围插入中心导管 (PICC) 方法包括传统的,单针和双针皮下道技术.
- 研究往往忽视了PICC插入的程序方面,而是专注于导管后并发症.
- 关键的程序因素,如第一次尝试的成功,患者的经验和出血对于评估PICC方法至关重要.
研究的目的:
- 为了比较传统的非道导管注射与PICC插入的一针和两针皮下道导管注射的程序结果.
- 评估不同PICC插入技术对首次刺穿成功,患者疼痛和出血的影响.
主要方法:
- 一个三臂,并行,随机对照试验与681名患者进行.
- 患者被随机分配到传统的非道,单针皮下道或双针皮下道导管治疗组.
- 主要结局包括一次性刺穿成功率,疼痛强度和总出血量.
主要成果:
- 一针和两针的皮下道方法显示,一次性刺穿成功率明显高于传统方法.
- 这两种道方法的结果是,与传统方法相比,在导管后24小时内,血液流出率较低.
- 与两针方法相比,传统和单针方法的总出血量,疼痛强度和导管运行时间显著降低.
结论:
- 用一针针的皮下道导管检测显示出比传统和两针针的方法更高的性能.
- 这种技术与改善的手术成功和患者舒适度有关,没有报告的神经或血管损伤.
- 建议在临床应用中使用一针皮下道导管.
相关概念视频
01:24Cardiac Catheterization III: Left Heart Catheterization
592
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
592
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
759
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
759
01:26Cardiac Catheterization IV: Nursing Management
656
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
656
01:28Cardiac Catheterization I: Pre-Procedure Overview
1.1K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
1.1K
01:21Cardiac Catheterization II: Right Heart Catheterization
831
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
831
01:27Peripheral Artery Disease III: Interprofessional Care
245
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
245