超长的外围导管与加速的Seldinger技术在难以静脉注射的患者中长的外围导管 (ULAST):一个务实的随机对照试验协议
Wouter Pieteraerens1,2,3, Domien Vanhonacker2, Katrien Beeckman3
1Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium wouter.pieteraerens@uzbrussel.be.
BMJ open
|February 6, 2026
概括
这项研究比较了两个长长的外围导管,用于难以输入静脉的患者 (DIVA). 目标是确定哪个导管提供更好的停留时间和更少的并发症,以改善患者护理.
科学领域:
- 血管接入 血管接入
- 医疗器械 医疗器械
- 临床试验 临床试验
背景情况:
- 超声导向的外周管道越来越多地用于难以进入静脉的患者 (DIVA).
- 长的外围导管对于延长停留时间和减少中静脉导管并发症至关重要.
- 目前在临床实践中采用了各种类型的导管和插入技术.
研究的目的:
- 在成人患者中比较两种类型的长外围导管的疗效和安全性.
- 评估平均停留时间,治疗完成率和导管相关并发症的差异.
- 评估对导管可用性和意外取出率的影响.
主要方法:
- 一个前性的,双臂的,单中心的,非盲目的,务实的随机对照试验.
- 一个63毫米超长的外围导管 (导管穿过针头) 与一个80-100毫米加速的Seldinger技术长的外围导管的比较.
- 包括需要长时间外围导管治疗的成人住院患者;计划52名患者 (每组26名).
主要成果:
- 该部分尚未提供,因为研究仍在进行中.
- 将收集平均停留时间,治疗完成率和并发症率 (血栓,感染,,透) 的数据.
- 将分析导管可用性丧失和意外摘除的发生率.
结论:
- 这项试验将为DIVA患者的长外围导管的最佳选择提供有价值的数据.
- 预计这些发现将为临床实践提供信息,并可能减少与外围输液接入相关的并发症.
- 该研究旨在通过优化长外围导管的选择和使用来提高患者的治疗结果.
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