在医院前的环境中,与成功的静脉注射接入相关的因素
Tanner Smida1, Ryley Handyside1, Remle Crowe2
1Department of Emergency Medicine, West Virginia University School of Medicine, 64 Medical Center Drive, Morgantown, WV, United States.
Prehospital emergency care
|February 25, 2026
概括
紧急医疗服务 (EMS) 的临床医生在全国范围内实现了76.5%的静脉注射 (IV) 运管插入的首次尝试成功率. 患者和遭遇因素影响IV接入成功,不到一半的患者接受了医院前IV治疗.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 血管接入 血管接入
背景情况:
- 静脉注射 (IV) 阴道插入是紧急医疗服务 (EMS) 的常见医院前程序.
- 描述IV接入成功和利用对于优化医院前护理至关重要.
- 了解影响第一次尝试成功的因素可以改善患者的治疗结果.
研究的目的:
- 在全国范围的队列中确定外围IV接入的首次尝试和整体成功率.
- 为了确定与成功的第一次尝试IV接入相关的因素.
- 评估成功的IV接入的医院前利用率.
主要方法:
- 追溯分析2023年ESO数据协作研究数据集.
- 包括911号电话后至少一次外围IV接入尝试的患者.
- 后勤回归用于分析患者/遭遇特征与第一次尝试成功之间的关联.
主要成果:
- 分析了300多万次静脉注射试验,76.5%的试验成功,总体成功率为84.3%.
- 第一次尝试的成功因患者的性别,种族,EMS印象,管大小和插入部位而异.
- 在成功获得IV接入的患者中,不到50% (44.6%) 接受了医院前IV治疗.
结论:
- 在全国范围内,EMS临床医生首次尝试IV接入的成功率约为76.5%.
- 患者和遭遇特征显著影响IV接入成功率.
- 在成功获得IV接入的患者中,很大一部分在医院前环境中没有接受IV治疗.
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