Children's Hospital and Medical Center, Department of Nursing, Omaha, NE, USA.
J Pediatr Nurs. 2012 Apr;27(2):134-43. doi: 10.1016/j.pedn.2010.10.009. Epub 2011 Feb 18.
Peripheral intravenous (PIV) access is a common and essential component for the medical management of the hospitalized child. Delayed or failed PIV insertion can increase the risk for complications from delayed intravenous treatment. Repetitive PIV insertion attempts can cause psychological trauma to the child and decrease family satisfaction. This study examined the success of two vein visualization assistive devices in aiding PIV insertions performed by pediatric medical-surgical nurses. During the 11-month investigation period, PIV insertion success was significantly higher when no assistive device was used compared to assisted methods. Implications for practice and further research are discussed.
外周静脉(PIV)置管是住院儿童医疗管理中常见且必不可少的组成部分。PIV 插入延迟或失败会增加因延迟静脉治疗而导致并发症的风险。反复进行 PIV 插入尝试会给儿童造成心理创伤,并降低家庭满意度。本研究调查了两种静脉可视化辅助设备在协助儿科医护人员进行 PIV 插入方面的成功率。在 11 个月的调查期间,与使用辅助方法相比,不使用任何辅助设备时 PIV 插入的成功率显著更高。讨论了对实践和进一步研究的影响。