改善小儿感染性休克治疗期间的无菌技术：两种快速液体输注方法的比较
Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods.
作者信息
Spangler Hillary, Piehl Mark, Lane Andrew, Robertson Galen
机构信息
Departments of Internal Medicine and Pediatrics, University of North Carolina (UNC) Health Care, Chapel Hill, North Carolina (Dr Spangler); 410 Medical, Inc, Durham, North Carolina (Dr Piehl, Mr Lane, and Mr Robertson); University of North Carolina School of Medicine, Department of Pediatrics, Chapel Hill, North Carolina (Dr Piehl); and WakeMed Health and Hospitals, Raleigh, North Carolina (Dr Piehl). Hillary Spangler, MD, is a resident physician in the Departments of Internal Medicine and Pediatrics at University of North Carolina (UNC) Health Care. She received her medical training at UNC Chapel Hill. A pediatric sepsis survivor, Dr Spangler's clinical and research interests involve sepsis and quality improvement. She is also an active participant in UNC's Code Sepsis Initiative. Mark Piehl, MD, MPH, is a pediatric intensivist at WakeMed in Raleigh, North Carolina, and is a clinical associate professor in the Department of Pediatrics at the UNC School of Medicine. He received his MD and MPH degrees from UNC and is now chief medical officer of 410 Medical, Inc. Andrew Lane, MS, BS, is a mechanical engineer at 410 Medical, Inc. He has done research in ergonomics and human factors of medical devices, critical care, and robotics. He obtained a BS in biomedical engineering from UNC Chapel Hill and an MS in mechanical engineering from North Carolina State University. Galen Robertson, MSME, BSME, is a mechanical engineer and the chief operating officer at 410 Medical, Inc. He has been involved in research involving ergonomics and human factors of medical devices in critical care, general surgery, and robotics. He earned his BSME and MSME degrees from Georgia Institute of Technology in Atlanta.
出版信息
J Infus Nurs. 2019 Jan/Feb;42(1):23-28. doi: 10.1097/NAN.0000000000000307.
Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation-the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow device (410 Medical, Inc; Durham, NC)-were compared in a simulated patient model. PPT was associated with multiple aseptic technique violations related to contamination of the syringe barrel. This study confirms the risk of PPT-associated syringe contamination and suggests that this risk could be mitigated with the use of a protected syringe system, such as LifeFlow.
快速液体复苏用于治疗小儿脓毒性休克。然而，在维持无菌技术的同时实现液体输送目标可能具有挑战性。在一个模拟患者模型中比较了两种液体复苏方法——常用的推拉技术（PPT）和使用LifeFlow设备（410 Medical, Inc；北卡罗来纳州达勒姆）的一种新的液体输注技术。PPT与多个与注射器筒污染相关的无菌技术违规情况有关。这项研究证实了PPT相关注射器污染的风险，并表明使用受保护的注射器系统（如LifeFlow）可以减轻这种风险。
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