Rapid Superficial Vein Assessment (RaSuVA): A pre-procedural systematic evaluation of superficial veins to optimize venous catheterization in neonates.

Q3 Medicine
Vito D'Andrea, Giorgia Prontera, Lucilla Pezza, Giovanni Barone, Giovanni Vento, Mauro Pittiruti
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引用次数: 0

Abstract

Background: Placement of peripheral intra-venous cannulas and epicutaneo-caval catheters is routinely performed in in Neonatal Intensive Care Unit (NICU), and both devices require visible superficial veins easy to cannulate. NICU patients are intrinsically characterized by poor and fragile vein asset, so that puncture and cannulation of superficial veins is often a challenge even for trained clinicians and cannulation frequently results in a stressful, painful, difficult procedure.

Methods and results: Rapid Superficial Vein Assessment is meant to offer a systematic pre-procedural evaluation of all superficial veins of the newborn, so to allow a rational choice of the best insertion site, tailored on the single patient, and optimized for the specific type of venous access device. The superficial veins are examined systematically, both with and without NIR technology, exploring seven skin areas in the following order: (1) medial malleolus, (2) lateral malleolus, (3) retro-popliteal fossa, (4) back of the hand and wrist, (5) antecubital fossa, (6) anterior scalp surface, and (7) posterior scalp surface.

Conclusions: The aim of the protocol is to increase the first attempt success rate and reduce the duration of the procedure, the number of attempts for single patient and possibly to limit complications, stress, and pain in neonates.

浅静脉快速评估 (RaSuVA):对浅静脉进行术前系统评估,以优化新生儿静脉导管插入术。
背景:在新生儿重症监护室(NICU)中,放置外周静脉内插管和腔外导管是常规操作,这两种装置都需要易于插管的可见浅静脉。新生儿重症监护室患者的静脉资产本身就脆弱不堪,因此即使是训练有素的临床医生,浅静脉的穿刺和插管也往往是一项挑战,插管过程往往会给患者带来压力、痛苦和困难:快速浅表静脉评估旨在对新生儿的所有浅表静脉进行系统的术前评估,以便合理选择最佳插入部位,为单个患者量身定制,并针对特定类型的静脉通路装置进行优化。无论是使用还是不使用近红外技术,都会对浅表静脉进行系统检查,按以下顺序探查七个皮肤区域:(1) 内侧踝骨,(2) 外侧踝骨,(3) 后腘窝,(4) 手背和手腕,(5) 前眶里窝,(6) 前头皮表面,(7) 后头皮表面:该方案旨在提高首次尝试的成功率,缩短手术时间,减少单个患者的尝试次数,并可能减少新生儿的并发症、压力和疼痛。
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
JAVA - Journal of the Association for Vascular Access
JAVA - Journal of the Association for Vascular Access Medicine-Medicine (miscellaneous)
CiteScore
1.10
自引率
0.00%
发文量
22
期刊介绍: The Association for Vascular Access (AVA) is an association of healthcare professionals founded in 1985 to promote the emerging vascular access specialty. Today, its multidisciplinary membership advances research, professional and public education to shape practice and enhance patient outcomes, and partners with the device manufacturing community to bring about evidence-based innovations in vascular access.
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