Demir Duygu, Inal Sevil
Health Science Faculty, Midwifery Department, Istanbul University, Istanbul, Turkey.
Pediatr Emerg Care. 2019 Jul;35(7):474-479. doi: 10.1097/PEC.0000000000001007.
Peripheral intravenous catheterization is one of the most frequently encountered medical procedures for hospitalized children and is one that can often be painful. Pediatric nurses should therefore use techniques that increase the success rate or shorten the duration of peripheral intravenous catheterization.
This study was performed with the objective of determining the effect of using a vein visualization device on the success of the procedure. Success was determined based on the number of attempts per patient, the duration of the procedure, and the first stick success rate.
This was a randomized, controlled experimental study on 129 children aged 3 to 18 years.
The duration of peripheral intravenous catheterization was shorter in the study group (S) than in the control (C) patients (37.24 ± 20.07 vs 172.65 ± 153.21 seconds; P = 0.001), with fewer attempts (S, 1.08 ± 0.28; C, 2.23 ± 1.57; P < 0.01). The first stick success rate was higher than [corrected] the control group (S, 91.7%; C, 47.4%; P = 0.001).
Peripheral intravenous catheterization using vein visualization device support reduces the number of attempts per patient and the operation duration but increases the rate of first stick success. We may therefore state that vein visualization device support improves the success of peripheral intravenous catheterization.
外周静脉置管是住院儿童最常进行的医疗操作之一，且常常会引起疼痛。因此，儿科护士应采用能提高外周静脉置管成功率或缩短置管时间的技术。
本研究旨在确定使用静脉可视化设备对该操作成功率的影响。根据每位患者的尝试次数、操作持续时间和首次穿刺成功率来确定成功与否。
这是一项针对129名3至18岁儿童的随机对照实验研究。
研究组（S）外周静脉置管的持续时间比对照组（C）患者短（37.24±20.07秒对172.65±153.21秒；P = 0.001），尝试次数更少（S组为1.08±0.28次；C组为2.23±1.57次；P < 0.01）。首次穿刺成功率高于对照组（S组为91.7%；C组为47.4%；P = 0.001）。
使用静脉可视化设备辅助进行外周静脉置管可减少每位患者的尝试次数和操作时间，但提高了首次穿刺成功率。因此，我们可以说静脉可视化设备辅助提高了外周静脉置管的成功率。
