Nursing Research, Griffith University, Hartwell, GA, USA.
PICC Excellence Inc, Hartwell, GA, USA.
Expert Rev Med Devices. 2023 Jul;20(7):529-536. doi: 10.1080/17434440.2023.2216383. Epub 2023 May 25.
More than 4 out of 5 patients in acute care require intravenous catheters. Complications of catheter dislodgement and failure are commonly reported at rates of 15-69% causing interrupted treatment and greater resource consumption when catheter replacement is required.
This manuscript outlines unmet needs in the prevention of catheter dislodgement and how a novel safety release device (Orchid SRV™, Linear Health Sciences) might address these gaps based on available evidence.
Healthcare initiatives focus on reducing complications and associated costs with the delivery of intravenous treatments. Tension-activated safety release valve devices, attached to intravenous tubing, are a new feature that adds a level of safety to intravenous catheters to reduce mechanical catheter dislodgement when a pull force of greater than 3 pounds is applied. Incorporating a tension-activated accessory into and between existing intravenous tubing and the catheter and extension set protects the catheter from dislodgement. Flow continues until excessive pull force separates and closes the flow pathway in both directions, while the SRV provides a quick replacement to reestablish flow. The safety release valve is used to prevent accidental catheter dislodgement, limit tubing contamination, and avoid more serious complications while maintaining a functional catheter.
超过 5 分之 4 的急性护理患者需要静脉置管。导管移位和故障的并发症发生率通常为 15-69%,这会导致治疗中断,并在需要更换导管时消耗更多的资源。
本文概述了预防导管脱出的未满足需求,以及新型安全释放装置(Orchid SRV™,Linear Health Sciences)如何基于现有证据来解决这些差距。
医疗保健计划侧重于减少静脉治疗相关并发症和成本。附在静脉管上的张力激活安全释放阀装置是一种新特性,为静脉导管增加了一层安全性,当施加超过 3 磅的拉力时,可减少机械性导管脱出。在现有的静脉管和导管以及延长套件之间集成和连接一个张力激活附件,可防止导管脱出。在两个方向上,流动都会持续,直到分离并关闭流量通路的过度拉力,而 SRV 可快速更换以重新建立流量。安全释放阀用于防止意外导管脱出、限制管腔污染,并避免更严重的并发症,同时保持导管的功能。