McBride Clare, Miller-Hoover Suzan, Proudfoot James A
Oregon Health and Science University, Doernbecher Children's Hospital, Portland, Oregon (Ms McBride); Rady Children's Hospital, San Diego, California (Dr Miller-Hoover); and University of California at San Diego, Altman Clinical and Translational Research Institute, San Diego, California (Mr Proudfoot). Clare McBride, BSN, RN, CCRN, is a pediatric intensive care and cardiac nurse at Oregon Health and Science University's Doernbecher Children's Hospital. She previously worked at Rady Children's Hospital in San Diego and presented this evidence-based practice project at the American Association of Critical Care Nurses' annual teaching conference. Suzan Miller-Hoover, DNP, RN, CCNS, CCRN-K, has been in the nursing profession for more than 35 years. An experienced national speaker and peer-reviewed author, Dr Miller-Hoover is passionate about evidence-based best practice and pediatrics. James A. Proudfoot, MSc, is a senior statistician at the University of California at San Diego, Altman Clinical and Translational Research Institute. He has consulted on numerous clinical trials and is a coauthor of more than 25 articles.
J Infus Nurs. 2018 May/Jun;41(3):189-197. doi: 10.1097/NAN.0000000000000279.
Blood sampling is a major source of blood loss in the pediatric intensive care unit (PICU). Blood-sparing sampling techniques such as the push-pull method can significantly reduce sampling-related blood loss and protect patients from anemia and blood transfusions. The push-pull method is supported by research evidence for central venous catheter (CVC) sampling, but research protocols differ and not all CVCs and laboratory tests have been studied. A standard push-pull protocol for the PICU was developed, implemented, and evaluated in this evidence-based practice project. Results show that the protocol can be used safely and reliably as a standard waste-free sampling method in the PICU.
在儿科重症监护病房（PICU），采血是失血的主要来源。诸如推挽法等减少用血的采样技术可显著减少与采样相关的失血，并保护患者避免贫血和输血。推挽法在中心静脉导管（CVC）采样方面有研究证据支持，但研究方案各不相同，并非所有的中心静脉导管和实验室检测都已得到研究。在这个循证实践项目中，为PICU制定、实施并评估了一项标准推挽方案。结果表明，该方案可作为PICU一种安全可靠的标准无浪费采样方法使用。
