Wadhwa N K, Cabralda T, Suh H, Stratos J, Cascio C, Young N
Dept. of Medicine, State University of New York, Stony Brook.
Adv Perit Dial. 1992;8:192-4.
To evaluate the multiple use of cycler set with universal connector set.
The study was designed to reuse the cycler set for two to three treatments, each of 16-24 hours using Pac-X or Pac-Xtra cycler and to continue to use the same set if the patient was disconnected for any reason.
Tertiary-referral university hospital.
204 ESRD patients on peritoneal dialysis (PD) admitted to University Hospital from January 1989 to July 1991 were studied. The patients were disconnected and reconnected in between or during PD treatments. Five-liter dialysate bags were used. All the fluid was either set initially or added as clinically indicated.
2491 cycler PD treatments were performed with Pac-X and Pac-Xtra cyclers using 940 cycler tubing sets. 1624 disconnections were made in between and 336 were made for radiological investigations, special procedure, physical therapy and surgery during PD treatments. No episode of peritonitis or mechanical failure occurred. The multiple use resulted in 62% reduction in cycler sets thereby reducing the disposable supplies and a substantial saving in the nursing time.
The multiple use of cycler set with universal connector and manifold set was safe and economical in the patients undergoing cycler PD in the hospital setting.
评估带有通用连接器套件的循环仪套件的多次使用情况。
该研究旨在将循环仪套件重复用于两到三次治疗,每次使用Pac-X或Pac-Xtra循环仪进行16 - 24小时的治疗,并且如果患者因任何原因断开连接,则继续使用同一套件。
三级转诊大学医院。
对1989年1月至1991年7月入住大学医院的204例接受腹膜透析(PD)的终末期肾病(ESRD)患者进行了研究。患者在PD治疗期间或治疗之间断开连接并重新连接。使用5升透析液袋。所有液体要么最初就设定好,要么根据临床指征添加。
使用Pac-X和Pac-Xtra循环仪,使用940套循环仪管路套件进行了2491次循环仪PD治疗。在治疗期间,有1624次在治疗之间断开连接,336次因放射学检查、特殊程序、物理治疗和手术而断开连接。未发生腹膜炎或机械故障事件。多次使用使循环仪套件减少了62%,从而减少了一次性用品的使用,并大幅节省了护理时间。
在医院环境中,对于接受循环仪PD治疗的患者,多次使用带有通用连接器和集液管套件的循环仪套件是安全且经济的。