上臂与前臂置入长外周导管采血：随机对照试验

IF 1.7 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-03-12 DOI:10.1097/NCQ.0000000000000857

Amit Bahl, Matthew Drogowski, Akhil Gutta, Christopher Lehman, Edmond Younes, Emily DiLoreto, Chen Shen

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引用次数: 0

摘要

背景：对于长外周导管（LPCs），位置选择对采血和导管功能的影响尚不清楚。目的：比较LPCs放置在上臂和前臂的结果。方法：在静脉通路困难或长期治疗需要LPC的成年患者中进行了一项单点随机试验。参与者被随机分配在前臂或上臂接受8厘米，20号的LPC。结果包括采血成功、导管存活和导管相关血栓形成。结果：88例患者中，采血失败较为常见，前臂组（83.3%）与上臂组（78.1%）之间差异无统计学意义（P = .769）。平均停留时间（74.27 h vs 115.52 h, P = 0.394）和首次采血失败时间（70.19 h vs 112.90 h, P = 0.359）相似。虽然总体的采血成功率和血栓率没有差异，但随着时间的推移，趋势倾向于上臂放置。结论：本研究未发现不同放置点在血液取样能力或功能上有统计学上的显著差异。

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Upper Arm Versus Forearm Placement of Long Peripheral Catheters for Blood Sampling: A Randomized Controlled Trial.

Background: The impact of site selection on blood sampling and catheter functionality for long peripheral catheters (LPCs) is unclear.

Purpose: To compare outcomes of LPCs placed in the upper arm vs the forearm.

Methods: A single-site, randomized trial was conducted among adult patients requiring an LPC for difficult venous access or prolonged therapy. Participants were randomized to receive an 8 cm, 20-gauge LPC in either the forearm or upper arm. Outcomes included blood sampling success, catheter survival, and catheter-associated thrombosis.

Results: Among 88 patients, blood sampling failure was common, with no significant difference between forearm (83.3%) and upper arm (78.1%) groups (P = .769). Mean dwell time (74.27 vs 115.52 hours, P = .394) and time to first blood sampling failure (70.19 vs 112.90 hours, P = .359) were similar. While overall blood sampling success and thrombosis rates did not differ, trends favored upper arm placement over time.

Conclusions: This study found no statistically significant differences in blood sampling capability or functionality between placement sites.

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.