Clemen Linda J, Heldt Katherine A, Jones Karen, Baker Laura L, Pacha Jennifer, Hurm Linda, Renner Catherine H, Tonui Peter
Iowa Methodist Medical Center, Des Moines, IA 50309, USA.
J Trauma Nurs. 2012 Jan-Mar;19(1):46-9. doi: 10.1097/JTN.0b013e31822e5998.
Insertion of prehospital peripheral intravenous (PIV) catheters frequently occurs under suboptimal conditions. Timely replacement of prehospital PIV catheters may minimize the risk of inhospital catheter-related infections. Inconsistent recommendations exist concerning when prehospital PIV catheters should be replaced. The following study assessed compliance with hospital order sets for the discontinuation of prehospital PIV catheters in trauma patients and their associated complications. Results revealed 33.62% compliance with the trauma order set and 66.38% compliance with the hospital order set. Less than 1% of patients exhibited an associated complication. Guidelines for replacement of prehospital PIV catheters should focus less on time since insertion and more on patient factors.
院外外周静脉（PIV）导管的插入操作常常在欠佳的条件下进行。及时更换院外PIV导管可能会将院内导管相关感染的风险降至最低。关于何时应更换院外PIV导管，存在不一致的建议。以下研究评估了创伤患者中遵循医院关于停用院外PIV导管的医嘱集情况及其相关并发症。结果显示，遵循创伤医嘱集的比例为33.62%，遵循医院医嘱集的比例为66.38%。不到1%的患者出现相关并发症。院外PIV导管更换指南应更少关注自插入后的时间，而更多关注患者因素。
