程序和治疗外周静脉导管:安全,质量和以患者为中心的护理的框架
Bertrand Drugeon1,2,3,4,5, Claire M Rickard3,4,6, Nathan Peters7,8
1Service des Urgences Adultes-SAS 86-SAMU, CHU de Poitiers, Poitiers, France.
Journal of advanced nursing
|November 3, 2025
概括
一个新的框架根据停留时间区分了外周静脉导管,区分了短期程序和长期治疗设备. 这提高了血管接入的选择,安全和成本效益.
科学领域:
- 血管接入装置 血管接入装置
- 医疗器械分类 医疗器械分类
- 患者安全 患者安全
背景情况:
- 周围静脉注射导管 (PIVC) 是至关重要的,但容易出现并发症.
- 目前的指导方针缺乏基于停留时间和目的的明确区分.
- 这导致了低于最佳的设备选择,增加了风险和更高的成本.
研究的目的:
- 引入一个新的概念框架来对PIVC进行分类.
- 根据停留时间 (短期与长期) 和治疗目的来区分导管.
- 提高PIVC管理中的材料选择,安全性和成本效益.
主要方法:
- 基于临床指南,专家共识和同行评审证据的概念开发.
- 在PubMed的文献搜索和手动参考选.
- 使用SANRA标准和澳大利亚临床护理标准综合证据.
主要成果:
- 建议分类:"程序性" (<24小时) 和"治疗性" (>24小时) 导管.
- "程序性"导管与直接风险相关 (例如,插入失败,创伤).
- 与累积风险相关的"治疗"导管 (例如,,感染,闭塞).
结论:
- 该框架提供了短期和长期PIVC的实际区分.
- 解决了对现有指导方针的监督问题,支持情境敏感的决策.
- 有潜力减少并发症,降低成本,改善患者的治疗结果和舒适度.
更多相关视频
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
723
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,...
723
Cardiac Catheterization IV: Nursing Management
634
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...
634
Cardiac Catheterization I: Pre-Procedure Overview
1.0K
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...
1.0K
Peripheral Artery Disease III: Interprofessional Care
232
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...
232
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K


