患有败血症的成年人服用外周血管压缩剂:对遵循指南和并发症的回顾性研究
Spencer Mann1,2, Susan H Weaver1,2, Weddy Balmaceda1,2
1Author Affiliations: Hackensack Meridian Health, Jersey Shore University Medical Center, Neptune, New Jersey (Mann).
概括
在败血症休克中对外周静脉导管 (PIVC) 血管压缩剂的标准化方案可以减少并发症. 遵守PIVC血管压缩剂使用指南对于患者安全至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 药理学 药理学是指药理学的学科.
- 血管接入 血管接入
背景情况:
- 周围静脉导管 (PIVC) 血管压缩剂的使用越来越多地用于当中心接入延迟时的快速败血休克治疗.
- 现在的国家指导方针支持在成人重症监护中短期使用外周血管压缩剂.
- 一个特定的医疗保健系统在2023年3月为急诊室和重症监护室实施了PIVC血管压缩剂管理指南.
研究的目的:
- 评估通过PIVC通过外周血管压缩剂的新实施的指导方针的遵守情况.
- 识别和分析与PIVC血管压缩剂使用相关的并发症.
主要方法:
- 进行了一项回顾性描述性研究.
- 包括106名被诊断患有败血症的成年患者,接受了外周血管压缩剂.
- 从急诊部 (68名患者) 和重症监护室 (38名患者) 设置收集的数据.
主要成果:
- 在大多数患者中,上腺素是通过短PIVCs给药的主要血管抑制剂.
- 总体而言,4.7%的患者 (5/106) 经历了并发症:4例血栓炎,1例外流.
- 只有1名患有并发症的患者符合PIVC大小,数量和持续时间的所有系统指南;总体指南遵守率为58%.
结论:
- 标准化方案是必要的,以尽量减少并发症在短期的外周血管压缩剂的管理.
- 这些发现强调了严格遵守PIVC血管压缩指南的重要性,以确保患者的安全和有效治疗.
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