Manager, Patient Care Operations - Vascular Access Team, Ann & Robert H. Lurie Children's Hospital of Chicago, USA.
Chief, Pediatric Interventional Radiology-Joe DiMaggio Children's Hospital, Hollywood FL, USA.
Br J Nurs. 2021 Apr 22;30(8):S10-S18. doi: 10.12968/bjon.2021.30.8.S10.
Midline catheters have emerged as a successful alternative to peripheral venous catheters (PVCs) and central venous catheters (CVCs) in select patients. Midline catheters allow for greater duration of access when compared with PVCs and avoid the critical complications associated with CVCs. This article describes the implementation of the Powerwand midline at a large paediatric tertiary care facility in acute and intensive care settings, and presents illustrative cases of the catheter in use. Product evaluation was performed by a paediatric vascular access team of registered nurses and included information on patient outcomes, inserter satisfaction, patient satisfaction, and cost effectiveness.
在某些特定患者中,中线导管已成为外周静脉导管(PVC)和中心静脉导管(CVC)的成功替代品。与 PVC 相比,中线导管可提供更长的通路时间,并避免与 CVC 相关的严重并发症。本文介绍了在一家大型儿科三级保健机构的急性和重症监护环境中实施 Powerwand 中线导管的情况,并展示了该导管使用的实例。产品评估由儿科血管通路团队的注册护士进行,包括患者结局、插入器满意度、患者满意度和成本效益方面的信息。