延长外周短导管留置时间：最佳实践讨论

Extending Short Peripheral Catheter Dwell Time: A Best Practice Discussion.

作者信息

Ansel Brenda, Boyce Michelle, Embree Jennifer L

机构信息

Franciscan St. Francis Health, Indianapolis, Indiana (Ms Ansel and Ms Boyce) and Indiana University-Purdue University Indianapolis School of Nursing, Indianapolis, Indiana (Dr Embree). Brenda Ansel, MSN, RN-BC, ACNS-BC, CEN, CHTP, is a clinical nurse specialist at Franciscan St. Francis Health in Indianapolis, Indiana. Michelle Boyce, MSN, RN, ACNS-BC, CEN, is a clinical educator in the emergency department of Franciscan St. Francis Health in Indianapolis, Indiana. Jennifer L. Embree, DNP, RN, NE-BC, CCNS, is a clinical assistant professor at the School of Nursing at Indiana University-Purdue University in Indianapolis, Indiana, the coordinator of the MSN Nursing Leadership in Health Systems Program, and a clinical nurse specialist.

出版信息

J Infus Nurs. 2017 May/Jun;40(3):143-146. doi: 10.1097/NAN.0000000000000137.

DOI:10.1097/NAN.0000000000000137

PMID:28419010

Abstract

Complications involving short peripheral catheters (SPCs) can significantly affect health care costs, patient quality of life, morbidity, mortality, and treatment expense, especially when the hospital stay is lengthened. This article examines the relationship between SPC dwell time and the incidence of phlebitis and potential bacteremia. The literature is replete with most studies supporting SPCs remaining in situ until a clinical reason warrants catheter removal. Removing and not routinely restarting unneccessary intravenous catheters can help prevent catheter-related infections and other vascular complications and reduce cost.

摘要

涉及短外周导管（SPC）的并发症会显著影响医疗成本、患者生活质量、发病率、死亡率和治疗费用，尤其是在住院时间延长时。本文探讨了SPC留置时间与静脉炎和潜在菌血症发生率之间的关系。大多数研究都充分支持SPC应保留在原位，直到有临床理由需要拔除导管。拔除不必要的静脉导管且不常规重新置管有助于预防导管相关感染和其他血管并发症，并降低成本。