改良 Seldinger 技术在危重新生儿经皮导管插入术中的应用。
Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns.
机构信息
Universidade Federal do Paraná, Hospital Infantil Waldemar Monastier, Campo Largo, PR, Brazil.
Instituto Federal do Paraná, Palmas, PR, Brazil.
出版信息
Rev Esc Enferm USP. 2023 Jun 30;57:e20220347. doi: 10.1590/1980-220X-REEUSP-2022-0347en. eCollection 2023.
OBJECTIVE
To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns.
METHOD
A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit.
RESULTS
Seven nurses participated in the research. Catheter pre-insertion, insertion and maintenance were assessed using the conventional and modified Seldinger technique. Reliability was satisfactory in pre-test, 5.40 (Md = 6.00), and post-test, 5.94 (Md = 7.00), and perfect in the items about device insertion and maintenance. There was low assertiveness in the items on indication, microintroduction procedure via ultrasound, limb repositioning and disinfection of connections/connectors.
CONCLUSION
Despite the Modified Seldinger Technique expanding some stages of execution over the traditional method of percutaneous catheterization, nurses were more assertive after theoretical-practical training. The technology was implemented and is in the process of being implemented in the health service.
目的
描述改良 Seldinger 技术在危重新生儿经皮置管中的应用。
方法
这是一项在新生儿重症监护病房进行的准实验前后研究，涉及新生儿科护士。
结果
7 名护士参与了这项研究。使用传统和改良 Seldinger 技术评估导管预插入、插入和维护情况。预测试的可靠性为 5.40（Md=6.00），后测试的可靠性为 5.94（Md=7.00），在设备插入和维护项目上达到了完美的可靠性。在适应证、超声微导入程序、肢体重新定位和连接/连接器消毒项目上的自信程度较低。
结论
尽管改良 Seldinger 技术在经皮置管的传统方法上扩展了一些执行阶段，但护士在理论实践培训后更有信心。该技术已在卫生服务中实施并正在实施中。
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