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一种用于从短外周导管采集样本的新型无针采血装置。

A Novel Needle-Free Blood Draw Device for Sample Collection From Short Peripheral Catheters.

作者信息

Cadacio Caprice, Nachamkin Irving

机构信息

Department of General Internal Medicine and Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Caprice Cadacio, MD, is a hospitalist in the Division of General Internal Medicine at the Hospital of the University of Pennsylvania and an assistant professor in the Perelman School of Medicine in Philadelphia, Pennsylvania. She teaches medical students and residents rotating on the inpatient General Medicine wards. She encounters many vascular access patients and is interested in better and safer access for these patients. Irving Nachamkin, DrPH, MPH, FAAM, FIDSA, is director of clinical laboratories and the Division of Laboratory Medicine at the Hospital of the University of Pennsylvania and professor of pathology and laboratory medicine in the Perelman School of Medicine in Philadelphia, Pennsylvania.

出版信息

J Infus Nurs. 2017 May/Jun;40(3):156-162. doi: 10.1097/NAN.0000000000000222.

DOI:10.1097/NAN.0000000000000222
PMID:28419012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5400409/
Abstract

A new US Food and Drug Administration-cleared needleless blood collection device (PIVO; Velano Vascular, San Francisco, CA) for short peripheral catheters was compared with conventional venipuncture for collecting blood samples for routine laboratory analysis from adult healthy volunteers. The PIVO device was comparable with venipuncture in terms of providing high-integrity samples (no hemolysis or clotting), equivalent laboratory values, and better patient experience as assessed by pain scores. Further studies to assess the overall utility of the PIVO device are warranted.

摘要

一种新的经美国食品药品监督管理局批准的用于短外周导管的无针采血装置(PIVO;Velano Vascular公司,加利福尼亚州旧金山),与传统静脉穿刺法进行了比较,用于从成年健康志愿者身上采集血样以进行常规实验室分析。在提供高完整性样本(无溶血或凝血)、等效的实验室检测值以及通过疼痛评分评估的更好的患者体验方面,PIVO装置与静脉穿刺法相当。有必要进行进一步研究以评估PIVO装置的整体效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9f6/5400409/9af0dcbd4b9b/jinfn-40-156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9f6/5400409/345476ee0d63/jinfn-40-156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9f6/5400409/9af0dcbd4b9b/jinfn-40-156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9f6/5400409/345476ee0d63/jinfn-40-156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9f6/5400409/9af0dcbd4b9b/jinfn-40-156-g002.jpg

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本文引用的文献

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Sustained reduction of central line-associated bloodstream infections outside the intensive care unit with a multimodal intervention focusing on central line maintenance.通过以中心静脉导管维护为重点的多模式干预,持续降低重症监护病房以外的中心静脉导管相关血流感染发生率。
Am J Infect Control. 2014 Jul;42(7):723-30. doi: 10.1016/j.ajic.2014.03.353. Epub 2014 May 23.
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Blood loss from laboratory diagnostic tests in children.儿童实验室诊断检测中的失血。
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Effectiveness of practices to reduce blood sample hemolysis in EDs: a laboratory medicine best practices systematic review and meta-analysis.
从现有外周静脉留置针采集的血液样本产生的结果与静脉穿刺相当:一项系统评价。
JRSM Open. 2020 May 6;11(5):2054270419894817. doi: 10.1177/2054270419894817. eCollection 2020 May.
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Prospective study of serum and ionized magnesium pharmacokinetics in the treatment of children with severe acute asthma.血清和离子镁药代动力学在治疗儿童重度急性哮喘中的前瞻性研究。
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Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters.PIVO装置对外周静脉留置针采血操作的影响。
Nurs Res Pract. 2018 May 22;2018:7380527. doi: 10.1155/2018/7380527. eCollection 2018.
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Evaluation of a new venous catheter blood draw device and its impact on specimen hemolysis rates.一种新型静脉导管采血装置的评估及其对标本溶血率的影响。
Pract Lab Med. 2018 Jan 4;10:38-43. doi: 10.1016/j.plabm.2018.01.002. eCollection 2018 Mar.
急诊科减少血样溶血实践的效果:实验室医学最佳实践系统评价和荟萃分析。
Clin Biochem. 2012 Sep;45(13-14):1012-32. doi: 10.1016/j.clinbiochem.2012.08.002.
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Vascular access challenges: small, fragile veins and tissue-paper skin.血管通路面临的挑战:细小、脆弱的静脉以及薄如纸巾的皮肤。
Nursing. 2012 Feb;42(2):62-3. doi: 10.1097/01.NURSE.0000408482.28574.e4.
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Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction.急性心肌梗死期间因静脉穿刺采血导致的诊断性失血及医院获得性贫血
Arch Intern Med. 2011 Oct 10;171(18):1646-53. doi: 10.1001/archinternmed.2011.361. Epub 2011 Aug 8.
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