[止回阀:安全使用的重要常识]。

Die Anaesthesiologie Pub Date : 2024-02-01 Epub Date: 2024-01-12 DOI:10.1007/s00101-023-01369-y
R Schalk, H Heinze, P Scheiermann, R Strametz
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引用次数: 0

摘要

当半衰期特别短的药物(如儿茶酚胺)持续通过单向阀给药时,或者当必须防止意外逆行给药时(如快速顺序诱导和插管),使用单向阀会使患者受益。缺少单向阀会导致给药无法按预期方式发挥作用,从而可能导致治疗不充分,并给患者带来不良后果。为了在使用单向阀时确保最高水平的患者安全,必须对医务人员进行适当的培训。与此相反,如果无视安全措施,包括在更换止回阀后又将药物、注射器或一次性材料重新用于其他患者,则存在可预防的危险(如感染、意识)。目前尚不清楚在德语区这种做法的频率。
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[Check valves : Important facts for safe use].

Patients benefit from the use of check valves when drugs with a particularly short half-life (e.g., catecholamines) are continually administered through a one-way valve or when an accidental retrograde bolus application must be prevented, as in the event of a rapid sequence induction and intubation. The lack of a check valve can prevent the administered drug from working in the intended manner resulting in potentially insufficient treatment and negative consequences for the patient. In order to ensure the highest level of patient safety while using check valves appropriate training of medical personnel is essential. In contrast, preventable dangers (e.g., infections, awareness) exist when safety measures are disregarded, including the re-use of medications, syringes or disposable materials in successive patients after having only exchanged the check valves. It is not clear how often this is practiced in German-speaking areas.

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