院前静脉置管：一项前瞻性研究。

Prehospital intravenous line placement: a prospective study.

作者信息

Jones S E, Nesper T P, Alcouloumre E

机构信息

Department of Emergency Medicine, University of Southern California, Los Angeles 90033.

出版信息

Ann Emerg Med. 1989 Mar;18(3):244-6. doi: 10.1016/s0196-0644(89)80405-6.

DOI:10.1016/s0196-0644(89)80405-6

PMID:2923331

Abstract

We prospectively measured the on-scene time, transport time, and IV line starting time for 97 patients receiving paramedic care in an urban region during an 18-month period. The overall success rate for IV line placement was 91%, and the average successful IV line starting time was 2.5 minutes. En route IV line attempts had similar success rates and starting times. The on-scene IV line starting times were shorter than the transport times in 86% of patients. We conclude that definitive IV line medical therapy, when available, can be delivered effectively by paramedics at the scene. We also conclude that en route IV line placement is feasible in trauma victims.

摘要

我们前瞻性地测量了18个月期间在城市地区接受护理人员救治的97例患者的现场时间、转运时间和静脉输液开始时间。静脉输液置管的总体成功率为91%，平均成功开始静脉输液时间为2.5分钟。途中静脉输液尝试的成功率和开始时间相似。86%的患者现场静脉输液开始时间短于转运时间。我们得出结论，在有条件时，护理人员可在现场有效地进行确定性静脉输液治疗。我们还得出结论，对创伤患者进行途中静脉输液置管是可行的。