Improving Arterial Puncture Success in Neonatal Patients Using Transillumination.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2024-04-01 Epub Date: 2023-12-21 DOI:10.1097/ANC.0000000000001120

Sarah C Rhoads, Andrea Purdy, Emily Fox, Hannah Anspaugh

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引用次数: 0

Abstract

Background: Arterial punctures are a common procedure used to obtain blood samples for lab tests that guide treatment of neonatal patients. These punctures can be painful and have associated risks, emphasizing the importance of keeping attempts to a minimum.

Purpose: The purpose of this quality improvement initiative was to determine whether using transillumination to visualize arteries before and while obtaining a blood sample would improve outcomes in neonatal patients.

Methods: Quantitative data were collected pre- and postimplementation of education for the use of a transillumination device for arterial punctures on neonates in a level III neonatal intensive care unit (NICU). Outcomes followed included the success rate, average time to obtain a blood sample, and the average number of sticks to obtain a blood sample. Data were collected on 47 blood draw attempts in the control group (preimplementation) and 19 blood draw attempts in the experimental group (postimplementation).

Results: A statistical analysis concluded that the use of the studied transillumination device does positively affect the incidence of successful blood draws, particularly for the novice NICU nurse. In addition, the average number of sticks to obtain a blood sample significantly decreased in the experimental group. Finally, the average time to obtain a blood sample using the device was not impacted in this study.

Implications for practice and research: Use of a transillumination device does appear to result in improved outcomes for arterial punctures in neonatal patients. More research is needed to confirm these findings due to the small sample size of the study.

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利用透射光提高新生儿患者动脉穿刺的成功率

背景：动脉穿刺是一种常见的程序，用于获取血液样本进行实验室检测，为新生儿患者的治疗提供指导。目的：本质量改进计划旨在确定在获取血液样本之前和获取血液样本时使用透射光检查动脉是否会改善新生儿患者的治疗效果：方法：在对三级新生儿重症监护病房（NICU）的新生儿进行使用透射光装置进行动脉穿刺的教育前后收集定量数据。随访结果包括成功率、获取血样的平均时间以及获取血样的平均穿刺次数。对对照组（实施前）的 47 次抽血和实验组（实施后）的 19 次抽血进行了数据收集：统计分析结果表明，使用所研究的透射照明装置确实会对成功抽血的发生率产生积极影响，尤其是对新生儿重症监护室的新手护士而言。此外，实验组抽取血液样本的平均扎针次数明显减少。最后，在本研究中，使用该设备抽取血液样本的平均时间没有受到影响：对实践和研究的启示：使用透照装置似乎能改善新生儿患者动脉穿刺的结果。由于研究样本量较小，因此需要更多的研究来证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.