使用静脉观察装置辅助静脉插管减少了儿科患者成功插管的时间和次数

Alka Sara Saju, Lilly Prasad, Menaka Reghuraman, Immanuel Karl Sampath
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引用次数: 9

摘要

每个接触医疗机构的儿童都有可能进行静脉插管(IV)手术,并伴有相关的疼痛、恐惧和痛苦。许多医疗保健专业人员认识到,缺乏干预措施,以防止多次插管尝试,并减少在静脉插管期间对儿童造成的痛苦和困扰。在儿科患者中进行了一项准实验研究,以研究静脉观察装置(VTorch)对静脉插管过程的影响。使用该装置评估插管尝试次数和成功插管时间(实验组,n = 159),并与标准程序(对照组,n = 159)进行比较。该装置在插管相关疼痛、恐惧和行为困扰方面的效果也在这些儿童中进行了评估。使用静脉观察装置辅助静脉置管可显著减少置管时间(P = 0.003)和置管次数(P = 0.03)。此外,使用该装置的首次插管成功率显著增加(P = 0.04)。在研究参与者中,静脉观察装置的使用对插管相关的疼痛、恐惧或行为困扰没有任何直接影响。本研究的结果可能有助于提高儿科患者静脉通路的质量。
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Use of vein‐viewing device to assist intravenous cannulation decreases the time and number of attempts for successful cannulation in pediatric patients
Every child who contacts a healthcare setting has a potential for intravenous cannulation (IV) procedure and related pain, fear, and distress. Many of the healthcare professionals recognize that there is a lack of intervention to prevent multiple cannulation attempts and to reduce pain and distress inflicted to children during IV cannulation. A quasi‐experimental study was undertaken in pediatric patients to study the effect of a vein‐viewing device (VTorch) on IV cannulation procedure. The number of cannulation attempts and time taken for successful cannulation were assessed with the use of this device (experimental group, n = 159) and compared it with the standard procedure (control group, n = 159). The effect of this device in cannulation associated pain, fear, and behavioral distress were also evaluated among these children. Using Vein‐viewing device as an aid for IV cannulation significantly reduced the time taken for cannulation (P = .003) and the number of cannulation attempts (P = .03). In addition, there was a significant increase in the first‐attempt cannulation success rate with the use of this device (P = .04). The use of vein‐viewing device did not have any direct effect on cannulation associated pain, fear, or behavioral distress among the study participants. The results of this study may aid in improving the quality of intravenous access procedure in pediatric patients.
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