Department of Gastroenterology, Gil Medical Center, Gachon University, Incheon 21565, Korea.
Center for Medical Robotics, Korea Institute of Science and Technology, Incheon 21565, Korea.
Medicina (Kaunas). 2020 Aug 5;56(8):393. doi: 10.3390/medicina56080393.
: An effective flushing technique is essential to reduce intravenous (IV)-related complications and improve patient care. New technology should contribute to such improvements, while reducing costs and increasing care efficiency. This study evaluated the efficacy, safety, and convenience of a new flushing technique using a Baro Flush™ controller. : We evaluated the efficacy and safety of Baro Flush™ by measuring the infusion flushing volume and pressure in vitro. Afterwards, we prospectively enrolled 3000 patients with flushing and assigned 1500 patients with a new technique for flushing and 1500 with a conventional flushing method, which was performed by 48 registered nurses (RNs) at the Gil Medical Center in June 2018. The efficacy, safety, and convenience of the new flushing method were evaluated though a questionnaire survey. : The average flushing pressure was 12.5 ± 0.6 psi (86.18 ± 4.14 kPa) with 1.2 ± 0.2 mL per flush, as recommended by the Centers for Disease Control and Prevention based on 85 experiments. No IV-catheter-related complications were reported by the RNs during the study. More than 80% of the RNs reported that the new flushing method was easier to learn, improved care efficacy, and was more convenient than conventional flushing. : The new flushing method using a Baro Flush™ controller showed improved efficacy, safety, and convenience compared with the conventional flushing method, and no IV-catheter-related complications occurred, including occlusion and inflammation. The new flushing method promises to reduce IV-catheter-related complications and shows improved efficacy, safety, and convenience.
一种有效的冲洗技术对于减少静脉内（IV）相关并发症和改善患者护理至关重要。新技术应该有助于提高这些方面，同时降低成本和提高护理效率。本研究评估了使用 Baro Flush™控制器的新冲洗技术的疗效、安全性和便利性。
我们通过测量体外输液冲洗量和压力来评估 Baro Flush™的疗效和安全性。之后，我们前瞻性地招募了 3000 名需要冲洗的患者，并将 1500 名患者分配到新的冲洗技术组，将 1500 名患者分配到常规冲洗方法组，该研究于 2018 年 6 月在 Gil 医疗中心由 48 名注册护士（RN）完成。通过问卷调查评估新冲洗方法的疗效、安全性和便利性。
根据疾病预防控制中心基于 85 次实验的建议，平均冲洗压力为 12.5±0.6psi（86.18±4.14kPa），每次冲洗 1.2±0.2mL。在研究期间，没有护士报告与静脉导管相关的并发症。超过 80%的护士报告说，新的冲洗方法更容易学习，提高了护理效果，比常规冲洗更方便。
与传统冲洗方法相比，使用 Baro Flush™控制器的新冲洗方法显示出了更好的疗效、安全性和便利性，而且没有发生与静脉导管相关的并发症，包括阻塞和炎症。新的冲洗方法有望减少与静脉导管相关的并发症，并显示出更好的疗效、安全性和便利性。
