针刺协议:一种新技术

M. Canzi, Anna Grizzo
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引用次数: 0

摘要

介绍。纽扣孔技术在20世纪70年代被描述,并没有进一步探索,可能是治疗动静脉瘘的有效选择;与绳梯或固定位置技术相比,该技术的局限性是感染发生率高。方法与结果。制定护理培训和统一行动方案,以最大限度地减少感染风险,并从该技术产生的积极结果中受益。在从未进行过BH的中心,我们建议建立一个小型试点小组来试验BH技术,首先选择容易刺痛的瘘管患者,以尽量减少负面结果;当操作人员达到良好的灵巧和安全水平时,整个护理团队可以接受培训。随后,试点群体将包括更多复杂的患者,并逐渐增加适合BH的患者数量;数据收集和监测将使项目的良好进展得到持续验证。特别是对于静脉穿刺困难的病例和在家庭透析中实施自我静脉穿刺,BH技术是最合适的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Protocollo per la puntura a occhiello: dal passato una nuova tecnica
Introduction. The Buttonhole technique described in the 1970s, and not further explored, may represent a valid alternative for the management of arteriovenous fistula; the limitations which caused the decline of this technique were high incidence of infections compared to the rope ladder or constant site techniques. Methods and Results. Creating a protocol to allow nursing training and uniformity of action in order to minimize the risk of infection and to benefit from the positive outcomes resulting from this technique. In Centers where BH was never performed we suggest to establish a small pilot group to experiment BH technique, first selecting patients with easily prickable fistulas, to minimize negative outcomes; when operators have reached a good level of dexterity and safety, the entire nursing team may be trained. Subsequently the pilot group will include more complex patients and gradually increase the number of patients suitable for BH; data collection and monitoring will allow continuous verification of the good progress of the project. Conclusions. BH technique can represent the most appropriate solution especially for difficult venipuncture cases and for the implementation of self venipuncture in home dialysis.
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