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简化输血

Simplified Blood Transfusion.

出版信息

Am J Nurs. 2018 May;118(5):48-49. doi: 10.1097/01.NAJ.0000532832.85765.0c.

Abstract

Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times.At one time, blood transfusions were routinely performed only in an operating room (OR). This 1937 article describes how one hospital found a way to change this practice by bringing the OR to the bedside. Author Frances A. Burgess details the contents of the sterile tray and recommends including a second sterile instrument pack in case a "cut down" might be needed for vein access. An OR nurse brings the equipment cart to the ward and assists with the transfusion.Burgess ends her article by emphasizing the benefits of the new protocol, highlighting priorities that will sound familiar to today's hospital nurses. "With this method the operating rooms are not held up by transfusions when as many as seven to nine are given in a day, and ill patients need not be moved to the operating room."For a review of blood products, current recommendations for their use, and the potential complications of transfusions, see "A Review of Current Practice in Transfusion Therapy" in this issue.

摘要

编者按

从1900年的创刊号至今,《美国护理杂志》(AJN)拥有无与伦比的档案,详细记录了一个多世纪以来护士的工作和生活。这些文章不仅在当时事件的背景下记录了护理作为一门职业的发展历程,还揭示了当时社会对女性、医疗保健和人权的普遍态度。如今的护理专业课程很少涵盖护理史,但这是一段值得了解的历史。为此,“来自AJN档案”栏目精选了适合当今主题和时代的文章。曾经,输血通常只在手术室进行。这篇1937年的文章描述了一家医院如何通过将手术室搬到床边来改变这种做法。作者弗朗西斯·A·伯吉斯详细介绍了无菌托盘的内容,并建议准备第二个无菌器械包,以防静脉穿刺需要“切开”操作。一名手术室护士将设备推车推到病房并协助输血。伯吉斯在文章结尾强调了新方案的好处,突出了当今医院护士熟悉的重点。“采用这种方法,当一天要进行多达7至9次输血时,手术室不会因输血而被占用,而且患病的患者无需被转移到手术室。”有关血液制品的综述、其当前使用建议以及输血的潜在并发症,请参阅本期的“输血治疗当前实践综述”。

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