改良塞丁格技术用于新生儿外周中心静脉置管的有效性：一项随机临床试验。
Effectiveness of the modified Seldinger technique for peripheral central catheter in newborns: a randomized clinical trial.
作者信息
Secco Izabela Linha, Danski Mitzy Tannia Reichembach, Lenzi Luana, Pereira Higor Pacheco, Azevedo Juliana Szreider de, Pontes Letícia, Afonso Regiane Queiroz, Milani Camila Fernanda da Silva
机构信息
Hospital Infantil Waldemar Monastier. Campo Largo, Paraná, Brazil.
Universidade Federal do Paraná. Curitiba, Paraná, Brazil.
出版信息
Rev Bras Enferm. 2024 Dec 16;77(6):e20240189. doi: 10.1590/0034-7167-2024-0189. eCollection 2024.
OBJECTIVES
to evaluate the effectiveness of peripheral central catheterization by comparing the modified Seldinger technique and the conventional technique in critically ill newborns.
METHODS
randomized unmasked clinical trial conducted in a public children's hospital. Participation of 111 newborns with randomized allocation, 56 in the control group (conventional technique) and 55 in the experimental group (modified Seldinger). Success and absence of complications were evaluated as primary outcomes. The pain scale, difficulty in hemostasis, procedure time and number of punctures were considered secondary outcomes.
RESULTS
there was no statistical significance between groups, either for success (p=0.705) or absence of complications (p=0.347). A lower pain score, improved hemostasis, increased assertiveness with fewer punctures and reduced procedure time were not observed in the experimental group.
CONCLUSIONS
the modified Seldinger technique did not prove to be a more effective insertion technology compared to the conventional method. Brazilian Clinical Trial Registry: RBR-69vks36.
目的
通过比较改良塞丁格技术与传统技术在危重新生儿外周中心静脉置管中的应用效果。
方法
在一家公立儿童医院进行随机非盲临床试验。111例新生儿参与随机分组，56例在对照组（传统技术），55例在试验组（改良塞丁格技术）。将置管成功及无并发症作为主要观察指标。疼痛评分、止血难度、操作时间及穿刺次数作为次要观察指标。
结果
两组在置管成功（p = 0.705）及无并发症（p = 0.347）方面均无统计学差异。试验组未观察到疼痛评分降低、止血改善、穿刺次数减少且操作更顺利以及操作时间缩短的情况。
结论
与传统方法相比，改良塞丁格技术并未被证明是一种更有效的置管技术。巴西临床试验注册编号：RBR - 69vks36。
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