Punción ecoguiada versus técnica tradicional para la extracción de gasometrías arteriales en adultos: una revisión sistemática

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2024-10-01 DOI:10.1016/j.enfi.2023.10.003

P. Romo-Miguel RN , S. Ballesteros-Peña RN, MPH, PhD

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引用次数: 0

Abstract

Aim

To compare the efficacy of conventional puncture versus ultrasound-guided puncture for arterial blood gas sampling in adults.

Method

A search protocol was developed and applied to 3 databases (Medline, Cochrane, and Dialnet). Clinical trials published between January 2013 and January 2023, in Spanish or English, were considered. Outcomes in terms of first-attempt success, number of attempts until success, time taken, self-reported iatrogenic pain, and patient or professional experience were collected. The risk of bias for each included study was assessed.

Results

Five randomized clinical trials were selected, with sample sizes ranging from 50 to 238 adult patients treated in emergency settings. Three out of 4 studies showed higher first-attempt success rates when using ultrasound, and 2 out of 4 studies reported a decrease in iatrogenic pain. Discrepant findings were observed among the studies in terms of time taken and the number of attempts required for success.

Conclusions

Although current evidence is limited and the findings are heterogeneous, ultrasound-guided arterial puncture may have advantages over conventional puncture in terms of first-attempt success and in reducing iatrogenic pain.

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成人动脉血气采样中超声引导穿刺与传统技术的比较：系统综述

目的比较成人动脉血气采样中传统穿刺与超声引导穿刺的疗效。方法制定了检索方案，并应用于 3 个数据库（Medline、Cochrane 和 Dialnet）。检索对象为 2013 年 1 月至 2023 年 1 月间发表的西班牙文或英文临床试验。收集了首次尝试成功率、成功前尝试次数、所需时间、自我报告的先天性疼痛以及患者或专业人员的经验等方面的结果。对每项纳入研究的偏倚风险进行了评估。结果筛选出了 5 项随机临床试验，样本量从 50 到 238 名在急诊环境中接受治疗的成年患者不等。4项研究中有3项显示，使用超声波治疗时首次尝试成功率更高，4项研究中有2项报告称人为疼痛有所减轻。结论虽然目前的证据有限，研究结果也不尽相同，但超声引导下动脉穿刺在首次穿刺成功率和减少先天性疼痛方面可能比传统穿刺更有优势。

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

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.