Intravenous Indwelling Needle Research Articles

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

ObjectiveThis study was performed to investigate the potential of a modified puncture method to decrease the incidence of intravenous indwelling needle-related complications in inpatients with cardiovascular disease.MethodsFrom February 2017 to July 2017, 436 consecutive inpatients with cardiovascular disease requiring infusion treatment were recruited and randomly divided into the control group and the treatment group. The standard infusion puncture method was applied in the control group, and a modified puncture method was applied in the treatment group. The incidence of complications and necessary positional adjustments of the intravenous indwelling needle in the two groups were observed.ResultsThe incidence of necessary positional adjustments of the intravenous indwelling needle was significantly lower in the treatment group than control group (16.5% versus 5.0%, respectively). The incidences of redness at the puncture point and oozing of blood or fluid at the puncture point were also significantly lower in the treatment group than control group (18.6% versus 4.5% and 12.7% versus 5.5%, respectively).ConclusionsThe modified puncture method for intravenous indwelling needles can significantly decrease the incidence of complications and positional adjustments during application, which relieves patients’ pain and lightens nurses’ workload.

Study on the effect of percutaneous low frequency electric stimulation on prevention of venous indwelling needle thrombosis in patients with coronary heart disease

Objective To explore the clinical effect of percutaneous low frequency electric stimulation on prevention of venous indwelling needle thrombotic blockage in patients with coronary heart disease. Methods A total of 150 patients admitted to the department of cardiovascular medicine from May 2017 to January 2018 who met the inclusion and exclusion criteria were selected. It was divided into the intervention group and the control group by the random number table method, including 75 cases in the intervention group and 75 cases in the control group. In the control group, the routine nursing method was adopted for the maintenance of intravenous indwelling needle. In the intervention group, on the basis of routine nursing, the percutaneous low frequency electrical stimulation was added. The incidence of thrombosis, occlusion, mean retention time, patient satisfaction and intravenous infusion complications were compared between the two groups. Results The incidence of thrombosis was 40.0% (30/75) and64.0% (48/75) in the intervention group and the control group, and the blockage rate was 28.0% (21/75) and 52.0% (39/75) in the intervention group and the control group, respectively. There were significant differences between the two groups (χ2=8.654, 9.000, all P< 0.01). The incidence of phlebitis, drug exosmosis and subcutaneous bruising were 13.33% (10/75), 13.33% (10/75) and 18.67% (14/75) in the intervention group, 33.33% (25/75), 40.00% (30/75) and 41.33% (31/75) in the control group, respectively. There were significant differences between the two groups (χ2 = 8.385, 13.636, 9.175, all P< 0.01). The indwelling time and patient satisfaction of the intervention group were (2.817±0.221) d and 82.67% (62/75) respectively, while those of the control group were (2.291±0.127) d and 50.67% (38/75), respectively. There were significant differences between the two groups (t=17.926, χ2=17.280, all P<0.01). Conclusions Percutaneous low frequency electrical stimulation has positive significance for improving the formation of thrombus at the point of intravenous indwelling needle and preventing the blockage of catheter caused by thrombosis. Key words: Percutaneous low frequency electrical stimulation; Venous indwelling needle; Tube blocking

Application of Micro-Teaching in the Training of Intravenous Indwelling Needle Infusion for Clinical Nursing Students

Objective: To explore the application effect of micro-teaching in the training of intravenous indwelling needle for clinical nursing students. Methods: A total of 102 undergraduate nursing students who were interned in our department from July 2016 to February 2018 were assigned randomly to the experimental group and the control group, 51 for each. The traditional teaching method was used in the control group for the training of intravenous indwelling needle infusion skills, whereas the micro-teaching method was used in the experimental group. Before the end of the internship, the two groups of interns were given a score test of intravenous indwelling needle infusion skills and an anonymous questionnaire survey on teaching effects. Results: The results of the skill test showed that the total scores of the control group and the experimental group were (76.73 ± 1.67) and (84.12 ± 1.90), respectively, and the difference was statistically significant (p < 0.01). According to the questionnaire survey, the percentage of the students in experimental group who had a positive attitude toward teaching methods, interest in learning, self-learning ability, and learning efficiency, was higher than that in the control group, and there was a statistical significance (p < 0.05). Conclusion: Microteaching can effectively promote the nursing students’ mastery of intravenous indwelling needle infusion skills, stimulate interest in learning, improve self-learning ability, improve learning efficiency and achieve satisfactory teaching effects.

Study on the effect of two kinds of transparent dressings in the use of intravenous indwelling needle in restless patients in emergency first aid

Objective To investigate and compare the effect of two kinds of transparent dressings in the use of fixed intravenous indwelling needle in restless patients in emergency first aid. Methods A total of 160 restless patients who were required to use intravenous indwelling needle were randomly divided into conventional dressing group and 3M dressing group by random digits table method, 80 patients in each group. The medical transparent dressings(Specification: 6 cm×7 cm) were used for the patients of conventional dressing group, and 3M dressings(Specification: 6.5 cm×7.0 cm) for 3M dressing group. The fixity time, number of cases intravenous indwelling needle detached, replaced time of transparent dressing, number of crimping cases were compared. Results For the conventional dressing group, fixity time was (19.67±7.02) h, replaced time was (18.92±6.58) h, 15 detached cases and 24 crimping cases happened. While for the 3M dressing group, fixity time was (41.64±17.79) h, replaced time was (41.11±17.76) h, 4 detached cases and 7 crimping cases happened. The difference was statistically significant(t=-10.27, χ2=7.23, t=-10.48, χ2=11.56, all P<0.05). Conclusions 3M transparent dressing is suggested in fixing intravenous indwelling needle in restless patient in emergency first aid. It can ensure the use of intravenous indwelling needle during the period, effectively prevents the needle from detaching due to its good fixation effect. Key words: Emergency service, hospital; Nursing care; Restless; Transparent dressings; Intravenous indwelling needle; Fixation

Experimental research on preventing mechanical phlebitis arising from indwelling needles in intravenous therapy by external application of mirabilite.

Various types of complications arising from intravenous indwelling needles have become a challenge in clinical care. It is urgent to seek a simple and cost-effective method for prevention and treatment of phlebitis. We investigated the roles of mirabilite in preventing and treating phlebitis caused by intravenous indwelling needles and provide guidance for prevention and treatment of mechanical phlebitis caused by intravenous indwelling needles. A total of 57 healthy congeneric big-eared New Zealand rabbits were randomly divided into 3 groups: blank control, indwelling needle, and group with external application of mirabilite. The ear vein of each rabbit was punctured with an intravenous indwelling needle. The ear vein specimens were taken at 3, 5, and 7 days after indwelling. The hematoxylin and eosin stained pathological tissue sections of the ear veins of the rabbits in each group were observed. The expression levels of IL-1 and IL-6, and tumour necrosis factor-α (TNF-α) in the vascular tissue of the ear veins of the rabbits in each group were detected with the immunofluorescence method. In the blank control group, there was no inflammatory cellular infiltration and no proliferation of fibrous tissue around the vascular wall. With the increase of the indwelling time, proliferation of fibrous tissue in vascular wall, increased inflammatory cellular infiltration and organized thrombus in the vascular tissue occurred in the ear veins of the rabbits in the indwelling needle group and group with external application of mirabilite. Compared with the indwelling needle group, the group with external application of mirabilite had significantly decreased fibrous tissue in the vascular wall and significantly decreased inflammatory cellular infiltration. At the same point in indwelling time, the expression levels of IL-1, IL-6, and TNF-α in the indwelling needle and group with external application of mirabilite were significantly higher than that in the blank control group (P<0.05). The expression levels of IL-1, IL-6, and TNF-α in the group with external application of mirabilite were lower than that in the indwelling needle group (P<0.05). The expression levels of IL-1, IL-6, and TNF-α are positively correlated with the indwelling time within the same group at different points in time. In conclusion, external application of mirabilite can significantly decrease infiltration of venous inflammatory cells of the rabbit ear margin, proliferation of fibrous tissue and thrombosis in the vascular wall, significant decrease the expression levels of IL-1, IL-6, and TNF-α in the mechanical phlebitis caused by intravenous indwelling needles, and decrease the inflammatory responses of the ear veins of rabbits.

The application of quality control circle activities to improve the use rate of venous indwelling needle in pediatric infusion room

Objective To explore and analyze the effect of quality control circle activities on the use rate of intravenous indwelling needle in pediatric infusion room, so as to provide reference for improving the use rate of intravenous indwelling needle in pediatric infusion room. Methods On January 8, 2016, the quality control circle was set up, in the theme of to improve the utilization rate of intravenous indwelling needle in pediatric infusion .300 cases of hand vein, foot step of great saphenous vein in children with intravenous indwelling needle after the activity were treated as the quality control circle group.Its usage of intravenous indwelling needle was objectively analyzed, and formulated the corresponding countermeasures for the existing problems and organize their implementation.At the same time, from July 6, 2015 to January 5, 2016, the children of 300 routine intravenous injection needles were treated as control group.The use rate of the intravenous needle of the two groups were observed. Results The success rate of catheter puncture, the retention time indwelling needle, the incidence of accidental removal and the statistical analysis of satisfaction of the patients and their families were significantly higher than those of the control group (P<0.05). At the same time, the results of statistical analysis of the intangible results after the quality control circle activities were significantly higher than that before the activities (P<0.01). Conclusions Quality control circle activity can effectively stimulate the passion of work, and creativity, and has a positive effect on improving their work efficiency.At the same time, the implementation of quality control activities in the pediatric intravenous infusion room can fully enhance the use of intravenous catheter infusion for children and extend indwelling time.The model has great clinical value. Key words: Quality control circle activities; Pediatrics; Infusion Room; Intravenous catheter; Utilization rate

Clinical research of different concentration of heparin sodium solution sealing up intravenous indwelling needle in patients with IV thrombocytopenia

Objective To explore the optimal concentration of heparin sodium solution, which to seal up intravenous indwelling needle, in patients with Ⅳ thrombocytopenia. Methods A total of 90 patients with Ⅳ thrombocytopenia who required intravenous indwelling needle were randomly divided into three groups which namely A, B and C groups with 30 cases each. A group was sealed up the tube of intravenous indwelling needle with 1 ml heparin sodium solution of 6.25 U/ml, B group with 12.50 U/ml and C group with 25.00 U/ml. The change of the platelet count, plasma prothrombin time (PT), activated partial thromboplastin time (APTT), plasma fibrinogen (Fbg) after extubation were observed in three groups and the incidence of blocking up and retention time were compared among three groups. Results The change of the platelet count, PT, APTT, Fbg were showed no statistical significance among three groups (P > 0.05). The incidence of blocking up was 66.7% (22/30) in A group, 43.3%(13/30) in B group and 16.7%(5/30) in C group. They were showed statistical significance (χ2=15.000, P < 0.01). Retention time of tube above or equal to 3 days were observed respectively 13 person (43.3%,13/30) in A group, 21 cases(70.0%, 21/30) in B group, 25 patients(83.3%, 25/30) in C group. All above were showed statistical significance (χ2=11.000, P < 0.01). Conclusions Heparin sodium 25.00 U/ml sealing up the tube of intravenous indwelling needle is safe in patient with Ⅳ thrombocytopenia, which will reduce the ration of blocking tube and extend the life of tube. Key words: Ⅳ thrombocytopenia; Intravenous indwelling needle; Heparin; Sealing up

Clinical observation of strictly control the infusion on the intervention of the premature infants' hard swelling and edema

Objective To explore the correlation between the infusion volume and infusion method with neonatal hard swelling, edema, looking for the best way to premature infusion. Methods A total of 62 cases of prematrue infants with gestational age ranged from 34 weeks to 36+ 5 weeks, and with weight equal or greater than 2kg were selected as the research objects.Compared different infusion method's efficacy through infusion speed control newborn room nurses on neonatal infusion volume. All the infants were randomly divided into A, B and C groups according to random number table method.Group A: the total volume was controlled, and infusion with conventional speed (5~6 drops a minute). Group B: the speed was controlled by trace injection pump infusion.Group C: the speed was controlled by 24 hours of continuous infusion pump, and then contrast in children with intravenous indwelling needle, the curative effect was observed.Three sets of liquid quantity control methods were for 1~3 days after the total amount (including milk, water and transfusion volume) for 50 ml/kg, 60 ml/kg, 80 ml/kg, 4~7 days 100 ml/kg, according to the daily intake of milk and water quantity adjusting infusion in children with quantity, infusion volume also includes parenteral nutrient solution: amino acids, fat milk, all consumption demand of reference to neonatal parenteral nutrition therapy concentration. Results Group C (in trace injection pump group 24 hours of continuous pumping) got best treatment effect, the degree of edema reduced, the swollen and complications of infusion reduced, the total cost reduced, the average hospitalization time of the child reduced(P<0.05). This method was better than that of Group A (the total control quantity, and speed of conventional infusion (5~6 drops/min) group) and Group B (control trace injection pump infusion speed, liquid input end of the day after the completion of treatment, do not need to 24 hours of continuous pumping group). It is worthy of clinical popularization and application. Conclusions Trace injection pump (in group C group 24 hours of continuous pumping) has best curative effect and the lightest edema and hard swollen complications. Key words: Strictly control the infusion; Intervention in the premature infant complications; Clinical observation

To investigate the children send venous indwelling needle tube method

Objective To investigate the children send venous indwelling needle tube method to improve the success rate of puncture. Methods 600 cases of hospitalized children were randomly divided into 3 groups, all needed to intravenous indwelling needle. 200 cases of group A used both hands to send tube method, 200 cases of group B with one hand to send tube method, 200 cases of group C used modified single hand to send tube method. Puncture success rate of three methods were compared. Results The success rate of puncture in group C was obviously higher than that of group A and group B. Conclusions The improved single hand pipe method can improve the success rate of indwelling needle puncture. Key words: Children; Indwelling needle; Send tube method; The success rate of puncture

Application of modified n-shaped sticker to prevent the pressure ulcer caused by scalp venous indwelling needle handle

Objective To explore methods to reduce the incidence of pressure ulcer caused by pediatric scalp venous indwelling needle handle. Methods All the children patients treated with scalp intravenous indwelling needle handle in our Department of Pediatric Orthopedics during January to December 2013, 200 children patients were randomly divided into two groups equally-control group and observation group by hospital bed number. In the control group, the needle handle was fixed by tension free sticker with the pinprickin the center.A modified n-shaped sticker was applied to fix the first quarter of the needle handletaking the pinprickin the centerand the three quarters of needle handle were exposed in the n-shaped space, and then a cross fixation was administered with ventilated adhesive plaster after pasting a sticking membrane in the observation group. The incidence rate of pressure ulcer compared between two groups. Results In the observation group, 4 children patients suffered first phase pressure ulcerand 6 suffered second phase pressure ulcer compared with 12 and 17 children patients undergoing first and second pressure ulcer. The incidence of pressure ulcer in the observation group was significantly less than that of the control group, and significant difference was found (χ2=11.499, P<0.01). Conclusions The modified n-shaped sticker is effective to reduce the incidence of pressure ulcer caused by needle handle and worth of clinical application. Key words: Pressure ulcer; Scalp intravenous indwelling needle; Fixation; N-shaped sticker

Effect of placing intravenous PCA on the indwelling time of superficial intravenous indwelling needle and nursing after cesarean section

Objective To observe the effect of placing intravenous PCA on the indwelling time of superficial intravenous indwelling needle and nursing after cesarean section.Methods A total of 265 pregnant women were divided into PCIA group and control group,the indwelling time of superficial intravenous indwelling needle was observed clinically.Results The indwelling time of superficial intravenous indwelling needle of two groups were different obviously.The time of PCIA group was great shorter than that of control group.Conclusions After cesarean section,intravenous PCA should be used to lengthen the using time of indwelling needle.. Key words: Vein PCA; Indwelling needle; Clinical observation; Shorten time; Nursing

Effect evaluation of application of intravenous indwelling needle and infusion connector joint in children undergoing chemotherapy

Objective To discuss the advantages of combined use of intravenous indwelling needle and infusion connector joint.Methods 120 cases of children in our hospital receiving chemotherapy through intravenous infusion were randomized into the control group and the experimental group with 60 cases in each group.The control group used heparin cap,after each infusion was completed,with 12.SU/ml 3～5ml of heparin saline pulse-type sealing.The experimental group adopted infusion connector joint,after the infusion completed,3～5 ml normal saline was injected into the joint to flush the blessing sealed tube.The complications rate was calculated in two groups.Results The experimental group and the control group showed differences in the incidence of complications and the patients' approval to nurses.Conclusions Combination of intravenous indwelling needle and infusion connector joint can reduce the complications significantly,and improve patients' approval to nurses. Key words: Intravenous indwelling needle; Infusion connector joint; Complication; Patients'ap-proval to nurses

Study of phlebitis caused by stimulants drugs infusion through Intravenous Indwelling Needle sealed by saline

目的 探讨两种不同量的生理盐水对上消化道出血病人留置针致静脉炎发生率的影响.方法 采用随机对照法,将100例病人分为观察组和对照组各50例,观察组留置针输液完毕采用20 ml生理盐水封管,对照组采用3 ml生理盐水封管.结果 观察组静脉炎发生率明显低于对照组.结论 采用相对大量的生理盐水封管比常规用量的生理盐水封管可降低静脉炎的发生及延留置针留置时间。

Comparison on effect of choosing different types of intravenous indwelling needle in elderly patients

目的 探讨选择更适合老年病人静脉输液治疗的留置针型号.方法 选择静脉输液治疗1周以上的60岁老年病人240例,按单双号随机分为实验组120例和对照组120例.排除使用特殊刺激性药物的患者.实验组选用美国BD公司生产的24号封闭式小儿留置针,对照组使用美国BD公司生产的18号封闭式留置针.比较2组病人发生静脉炎人次及穿刺失败人次.结果 实验组病人发生静脉炎人次及穿刺失败人次均明显低于对照组.结论 老年病人在长期静脉输液治疗中选用24号小儿封闭式留置针有利于提高穿刺成功率,减少发生静脉炎的机会。

健常人対象臨床試験における静脈内留置針採血の妥当性の検討

健常人対象臨床試験における静脈内留置針採血の妥当性の検討