Potential of modified puncture method to decrease intravenous indwelling needle-related complications in inpatients with cardiovascular disease

Lin, Yingying; Liu, Meili; Han, Dan; Ling, Xiao; Wu, Jine

doi:10.1177/0300060519845807

Cited by 6 publications

(6 citation statements)

References 10 publications

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“…For blood vessels that are poorly visible to the naked eye, nurses can apply this new technology to solve the problem, which can not only effectively increase the success rate of a puncture but can reduce puncture complications It also greatly reduces the discomfort of patients, doctor-patient disputes, and workload. However, the operator's proficiency in the use of ultrasound is also an important factor in determining the puncture time and the incidence of complications (12). In the clinical setting, a number of steps must be followed.…”

Section: Discussionmentioning

confidence: 99%

Application of ultrasound-guided external jugular vein puncture in intensive care unit (ICU) patients with severe sepsis: a randomised trial

et al. 2021

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Background: Sepsis is one of the most common critical illnesses in intensive care unit (ICU) clinical practice. Intravenous infusion technology is an important method for life support. The commonly used deep vein indwelling is expensive, and the incidence of infection due to long-term placement is high. Ultrasound technology can guide clinical puncture operations in real time and greatly improve the success rate of puncture. In the present study, we aimed to explore the effect of ultrasound-guided external jugular vein puncture and catheterization in patients with sepsis.Methods: From December 2018 to December 2019, a total of 61 patients with sepsis from the ICU or neurology care unit (NCU) were included in the present study and were randomly divided into the experimental group (n=30) and control group (n=31). Ultrasound-guided indwelling cannula needle was used in the experimental group, and blind indwelling cannula needle was used in the control group. The success rate of puncture at first operation, indwelling complications (e.g., bleeding, redness, infection, poor infusion), and operation time of the 2 methods were compared.Results: A comparison of the patients in the control group with the experimental group indicated no significant differences in age, body mass index, sex, temperature, mean aortic pressure, sequential organ failure score, need for vasopressors, central venous pressure, leucocytes, hemoglobin, platelets, albumin, and mechanical ventilation (all P>0.05). The duration of ICU or NCU stay was 5 days in the experimental group compared with 7 days in the control group (P=0.009). Compared with the control group, the experimental group had shorter successful puncture time (4.0 vs. 6.0 min, P<0.001), higher first puncture success rate (93% vs. 71%, Ρ=0.023), and a lower incidence of complications (12.5% vs. 45.0%, P=0.001).Conclusions: For patients with sepsis in ICU, ultrasound-guided puncture is superior to blind manual puncture.

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Section: Discussionmentioning

confidence: 99%

Application of ultrasound-guided external jugular vein puncture in intensive care unit (ICU) patients with severe sepsis: a randomised trial

et al. 2021

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“…This technique is effective in avoiding pain caused by repeated puncture, protecting the patients' blood vessels to a certain extent, and improving the patients' comfort level during treatment [1] . Existing research have suggested that the success rate of indwelling needles for patients benefited from the safe and effective improvement of indwelling time for patients as well as the reduction of discomfort caused by repeated punctures [4] . In this study, the effectiveness of QCCs for indwelling needle was assessed by comparing the indwelling needle duration and performing a fishbone analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the success of the re-entry process, this kind of indwelling needle tends to cause exudation. Currently, the puncture technique in clinics has garnered increasing attention and has been the focus of primary training for nurses; even routine standard maintenance training is considered inferior to it [6] . However, regular and standardized maintenance is extremely important to improve the success rate of indwelling needles.…”

Section: Discussionmentioning

confidence: 99%

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Application of Quality Control Circle in Improving the Success Rate of Indwelling Needles in Patients

Liu¹,

Heng²,

Li³

et al. 2021

PAR

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Objective: This study aims to assess the effectiveness of quality control circles (QCCs) in improving the success rate of intravenous indwelling needles among patients. Methods: The study included 1136 patients, that were admitted to the kidney and thoracic surgery wards of the First Affiliated Hospital of Jinan University from June 2019 to December 2019. The patients were using an indwelling needle each. They were divided into two groups: 1) control group (n = 232), where patients received regular nursing interventions; 2) intervention group (n = 904), where patients received QCC nursing intervention. Result: The fishbone diagram analysis revealed that poor training, lack of indwelling needle-related evaluation sheet, and lack of dynamic assessments were the factors that contributed to indwelling failure. In addition, the average indwelling duration of the intervention group was significantly higher than that of the control group. The success rate of indwelling needles in the intervention group (67.8%) was also significantly higher than that of the control group (48.3%), where p < 0.05. Furthermore, the intervention group (seepage = 19.9%; phlebitis = 6.7%) reported a significantly lower prevalence of the main factors of indwelling needle failure than the control group (seepage = 34.5%; phlebitis = 8.6%), where p < 0.05. Conclusion: The implementation of QCC can effectively reduce the occurrence of complications and nursing risks as well as improve the success rate of intravenous indwelling needles among patients.

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“…The widely used intravenous indwelling needle is a good framework for the construction of CTCs enriching device due to its long indwelling time in vessel. [16] The catheter is made of polyurethane, which can be covalently modified with tumor specific antibodies, enabling capture of CTCs from the whole-body blood continually with the aid of circulation.…”

Section: Introductionmentioning

confidence: 99%

In Vivo Enrichment and Elimination of Circulating Tumor Cells by Using a Black Phosphorus and Antibody Functionalized Intravenous Catheter

Wang

Liang

et al. 2020

Advanced Science

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The circulating tumor cell (CTC) count is closely related to cancer recurrence and metastasis. The technology that can in vivo destroy CTCs may bring great benefits to patients, which is an urgent clinical demand. Here, a minimally invasive therapeutic intravenous catheter for in vivo enriching and photothermal killing of CTCs is developed. The surface of catheter is modified with anti‐EpCAM antibody and the interior is filled with black phosphorus nanosheets (BPNSs). CTCs in the peripheral blood are captured by the catheter continually with the aid of circulation. The captured CTCs are used for downstream analyses or in vivo eliminated by the near‐infrared (NIR) photothermal effect of BPNSs. A capture efficiency of 2.1% is obtained during the 5 min of treatment, and 100% of the captured CTCs are killed by following NIR light irradiation in both an in vitro closed‐loop circulation system and an in vivo rabbit model. This cost‐effective modality for lowering the CTCs burden can be a good supplement to traditional therapies, which holds great promise as an effective clinical intervention for cancer patients.

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Potential of modified puncture method to decrease intravenous indwelling needle-related complications in inpatients with cardiovascular disease

Cited by 6 publications

References 10 publications

Application of ultrasound-guided external jugular vein puncture in intensive care unit (ICU) patients with severe sepsis: a randomised trial

Application of ultrasound-guided external jugular vein puncture in intensive care unit (ICU) patients with severe sepsis: a randomised trial

Application of Quality Control Circle in Improving the Success Rate of Indwelling Needles in Patients

In Vivo Enrichment and Elimination of Circulating Tumor Cells by Using a Black Phosphorus and Antibody Functionalized Intravenous Catheter

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