新生儿渗出性损伤：在澳大利亚和新西兰的预防和管理-当前实践调查。
Neonatal extravasation injury: prevention and management in Australia and New Zealand-a survey of current practice.
机构信息
Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
出版信息
BMC Pediatr. 2013 Mar 11;13:34. doi: 10.1186/1471-2431-13-34.
BACKGROUND
Extravasation injury remains an important cause of iatrogenic injury in neonatal intensive care. This study aims to describe the current approach to extravasation injury (EI) prevention and management in Neonatal Intensive Care Units (NICUs) in Australia and New Zealand.
METHODS
A literature review regarding extravasation injury in the newborn was carried out to inform questionnaire design. An internet-based survey was then conducted with the clinical directors of the 27 tertiary NICUs in Australia and New Zealand.
RESULTS
The survey received a 96% response rate. Approximately two thirds of Australian and New Zealand NICUs have written protocols for prevention and management of extravasation injury. Considerable practice variation was seen for both prevention and treatment of EI. 92% of units had experienced cases of significant EI.
CONCLUSIONS
Australian and New Zealand tertiary neonatal units clearly recognise EI as an important cause of iatrogenic morbidity and mortality. Significant variation still exists among units with regards to guidelines for both prevention and management of EI. We recommend that neonatal staff should remain vigilant, ensuring that guidelines for the prevention and treatment of EI are available, and rigorously followed.
背景
在新生儿重症监护中，外渗损伤仍然是医源性损伤的一个重要原因。本研究旨在描述澳大利亚和新西兰新生儿重症监护病房（NICUs）中预防和处理外渗损伤（EI）的现状。
方法
对新生儿外渗损伤的相关文献进行了综述，为问卷设计提供信息。然后对澳大利亚和新西兰 27 家三级新生儿重症监护病房的临床主任进行了一项基于互联网的调查。
结果
该调查的回复率为 96%。大约三分之二的澳大利亚和新西兰新生儿重症监护病房有预防和处理外渗损伤的书面方案。在 EI 的预防和治疗方面，实践差异很大。92%的单位都有过严重 EI 的病例。
结论
澳大利亚和新西兰的三级新生儿重症监护病房明确将 EI 视为导致医源性发病率和死亡率的一个重要原因。在预防和处理 EI 的指南方面，各单位之间仍存在显著差异。我们建议新生儿医护人员应保持警惕，确保有预防和治疗 EI 的指南，并严格遵循。
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