浅静脉快速评估 (RaSuVA):对浅静脉进行术前系统评估,以优化新生儿静脉导管插入术。

IF 5.6 2区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Essays in biochemistry Pub Date : 2024-01-01 Epub Date: 2022-05-20 DOI:10.1177/11297298221098481
Vito D'Andrea, Giorgia Prontera, Lucilla Pezza, Giovanni Barone, Giovanni Vento, Mauro Pittiruti
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引用次数: 0

摘要

背景:在新生儿重症监护室(NICU)中,放置外周静脉内插管和腔外导管是常规操作,这两种装置都需要易于插管的可见浅静脉。新生儿重症监护室患者的静脉资产本身就脆弱不堪,因此即使是训练有素的临床医生,浅静脉的穿刺和插管也往往是一项挑战,插管过程往往会给患者带来压力、痛苦和困难:快速浅表静脉评估旨在对新生儿的所有浅表静脉进行系统的术前评估,以便合理选择最佳插入部位,为单个患者量身定制,并针对特定类型的静脉通路装置进行优化。无论是使用还是不使用近红外技术,都会对浅表静脉进行系统检查,按以下顺序探查七个皮肤区域:(1) 内侧踝骨,(2) 外侧踝骨,(3) 后腘窝,(4) 手背和手腕,(5) 前眶里窝,(6) 前头皮表面,(7) 后头皮表面:该方案旨在提高首次尝试的成功率,缩短手术时间,减少单个患者的尝试次数,并可能减少新生儿的并发症、压力和疼痛。
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Rapid Superficial Vein Assessment (RaSuVA): A pre-procedural systematic evaluation of superficial veins to optimize venous catheterization in neonates.

Background: Placement of peripheral intra-venous cannulas and epicutaneo-caval catheters is routinely performed in in Neonatal Intensive Care Unit (NICU), and both devices require visible superficial veins easy to cannulate. NICU patients are intrinsically characterized by poor and fragile vein asset, so that puncture and cannulation of superficial veins is often a challenge even for trained clinicians and cannulation frequently results in a stressful, painful, difficult procedure.

Methods and results: Rapid Superficial Vein Assessment is meant to offer a systematic pre-procedural evaluation of all superficial veins of the newborn, so to allow a rational choice of the best insertion site, tailored on the single patient, and optimized for the specific type of venous access device. The superficial veins are examined systematically, both with and without NIR technology, exploring seven skin areas in the following order: (1) medial malleolus, (2) lateral malleolus, (3) retro-popliteal fossa, (4) back of the hand and wrist, (5) antecubital fossa, (6) anterior scalp surface, and (7) posterior scalp surface.

Conclusions: The aim of the protocol is to increase the first attempt success rate and reduce the duration of the procedure, the number of attempts for single patient and possibly to limit complications, stress, and pain in neonates.

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来源期刊
Essays in biochemistry
Essays in biochemistry 生物-生化与分子生物学
CiteScore
10.50
自引率
0.00%
发文量
105
审稿时长
>12 weeks
期刊介绍: Essays in Biochemistry publishes short, digestible reviews from experts highlighting recent key topics in biochemistry and the molecular biosciences. Written to be accessible for those not yet immersed in the subject, each article is an up-to-date, self-contained summary of the topic. Bridging the gap between the latest research and established textbooks, Essays in Biochemistry will tell you what you need to know to begin exploring the field, as each article includes the top take-home messages as summary points. Each issue of the journal is guest edited by a key opinion leader in the area, and whether you are continuing your studies or moving into a new research area, the Journal gives a complete picture in one place. Essays in Biochemistry is proud to publish Understanding Biochemistry, an essential online resource for post-16 students, teachers and undergraduates. Providing up-to-date overviews of key concepts in biochemistry and the molecular biosciences, the Understanding Biochemistry issues of Essays in Biochemistry are published annually in October.
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