Withdrawal Of Needles Research Articles

Robot-assisted Laparoscopic Excision of Abdominal Wall Endometrioma Utilizing Intraoperative Ultrasound and Transabdominal Needle Placement

In patients with endometriosis, extra pelvic endometriosis is estimated to have an incidence of 11% and a rare subset of extra pelvic lesions include abdominal wall endometriosis with an incidence of 0.03-3.5%1,3. Evaluation for and surgical management of abdominal wall endometriosis is an essential skillset for the advanced gynecologic surgeon. In this video, we demonstrate a surgical technique for robot-assisted laparoscopic excision of abdominal wall endometriosis with intraoperative ultrasound-guided needle placement. Description and demonstration of surgical technique. Patient with previous history of 2 cesarean sections and right lower quadrant cyclic abdominal wall pain. Tertiary care, academic center INTERVENTIONS: Intraoperative ultrasound-guided needle placement to map location and boundaries of the lesion followed by minimally invasive resection of the lesion with the intermittent advancement and withdrawal of needles to confirm clear margins. Minimally invasive resection of abdominal wall endometriosis using intraoperative ultrasound guided needle placement is an effective technique to guide surgical dissection and allow for clear surgical margins and successful treatment of this rare condition.

Investigation and present condition analysis on the venous transfusion recognition of inpatients

Objective To investigate the related knowledge recognition to the venous transfusion of inpatients in the area of Chongqing by releasing the recognition questionnaire form of venous transfusion. Methods The venous transfusion treatment team of our hospital designed the questionnaire form of the venous transfusion recognition condition of inpatients according to the related guide.Delphi expert consultation method was used to revise and consummate the questionnaire form.In addition, picking method was used to release 2 000 questionnaire forms to 21 different levels of hospital in Chongqing, and 1 840 copies were returned. Results The total score of the related knowledge of 20 items to the venous transfusion of patients was (53.65±20.45). The items that had low score were the time of needle eye with water and hot compress after the withdrawal of needles, adverse drug reaction and correct pressing method after withdrawal of needles, selection principle of venous transfusion tool and precaution of phlebitis.The comparison of groups: ①With the grouping comparison at different ages, the comparison difference of the related knowledge acquisition of patients had statistical significance(P 0.05). The difference had statistical significance for the comparison in the groups of 18~40 years old, 61~80 years old, 41~60 years old and 61~80 years old(P 0.05). Conclusions The general related knowledge acquisition of inpatients to venous transfusion treatment is poor in the region of Chongqing.The related knowledge acquisition of patients who are more than 60 years old, education background is low, patients in low-class hospital and have transfusion for the first time is worse, indicating that nursing personnel should formulate normalized health education scheme aimed at the related knowledge involved in venous transfusion.Meanwhile, individualization propaganda and education should be conducted to different crowds to improve the knowledge level of venous transfusion for the patients. In addition, the self-care of venous transfusion should be conducted well to reduce the risk of venous transfusion. Key words: Venous transfusion; Cognitive status; Health education; Investigation

Clinical observation on limb elevation for prevention of blood spills during withdrawal of trocar puncture core needles

Abstract Objective The study aimed to explore a lien secure trocar as an effective method to prevent blood spills. Methods This study included 1200 patients, who had a safety catheter from March to April in 2012, from the emergency department of the Shengjing Hospital of China Medical University. The patients were randomly divided into an experimental group and a control group. Using a conventional method, we compressed the vein at the tip of catheter to prevent blood spillage in the control group. We raised the patient's upper limb, while compressing the vein at the tip of catheter in the experimental group. Results The results showed that the experimental group was better than the control group not only in quantity but also in quality regarding blood pollution. The results reached a level of statistical significance (P Conclusions Raising the patient's upper limb and occluding the vein distal to the catheter can effectively interrupt blood spillage while withdrawing the steel needle (i.e., pulling out the trocar).

Investigation and analysis on the knowledge of pressing after the withdrawal of needles with intravenous transfusion in elderly patients

Objective To investigate the mastering degree and the application of the relevant knowledge of pressing after the withdrawal of needles with intravenous transfusion in elderly patients. Methods The general condition, cyanosis situation after pulling out the needles, mastering of knowledge of pressing, data based on 3 min and 5 min were investigated by a self-designed questionnaire. Results The survey was conducted among the elderly patients with the average aged (83.3±5.45), the cyanosis phenomenon after pulling needles were found accounting for 47.5%, the pressing time more than 5 min were known by patients accounting for 40%, the pressing time more than 3 min were known by patients accounting for 52.5%.The numeral values of 3 min and 5 min were (244±66)and(400±105). Conclusion The time and the way of pressing after the withdrawal of needles from the venous transfusion are not well mastered by the elderly patients.The inadequate time and wrong way of pressing are the main causes of the cyanosis phenomenon after needles being pulled out.It is strongly recommend that the criteria of pressing should be definitely set up and listed as part of the testing criteria.At the same time, the methods should be measurable, funny and easily acceptable. Key words: Elderly patients; Venous transfusion; Pressing time and method

Evaluation of the effect of modified method of fixation and withdrawal of needles in intravenous infusion

Objective To evaluate the effects of modified method of fixation and withdrawal of needles in intravenous infusion. Methods The modified method of two-step fixation and withdrawal of needles was adopted in emergency transfusion room of our hospital from September 2013. In January 2015, during every day's low peak period 12:00-14:00, 246 emergency transfusion patients were chosen and divided into the traditional group (122 cases, using three-step fixation and withdrawal of needles) and the modified group (124 cases, using two-step fixation and withdrawal of needles) according to transfusion order. The pain degree caused by withdrawal of needles using Numeric Rating Scale (NRS), time consumption of fixation and withdrawal of needles and rate of adhesive pastes abscission was assessed by nurses and compared between two groups. Results The incidence of pain in the modified group was lower than that of the traditional group [48.39% (60/124) vs. 81.97% (100/122)],χ2=30.49,P<0.05. The time consumption of fixation and withdrawal of needles in the modified group was shorter than that of the control group [(7.55±2.01) seconds vs. (10.88±2.72) seconds; (2.44±0.84) seconds vs. (11.55±4.62) seconds],Z=8.70, 13.55,P<0.05. The rate of adhesive pastes abscission in the modified group was lower than that of the control group [4.0% (5/124) vs. 18.9% (23/122)], χ2 = 13.39,P<0.05. All the difference between two groups was statistically significant. Conclusions The modified method of fixation and withdrawal of needles can relieve the pain caused by withdrawal of needles. Nurses can operate easily, adhesive pastes is fixed sturdily, which is popular among nurses and patients. Key words: Venous transfusion; Modified; Effect evaluation

Research on withdrawal of needles and compression methods after intravenous infusion

Intravenous infusion was one of the most common nursing skills,which included the venipuncture,infusion,withdrawal of needles and compression.Those steps were usually associated with the patients＇subjective feelings from the tissue injury.The progress would not only effect the patients＇ satisfaction or confidence to nurse,but also the results of the treatment.In this paper,the withdrawal of needles and compression methods,compression area,compression time and compression strenth in the whole intravenous infusion process were analyzed and summarized. Key words: Intravenous infusion; Withdrawal of needles; Compression

Electrodermal activity as a possible physiological marker for acupuncture

Change in amplitude of skin potential is one of the physiological indicators of electrodermal activity (EDA) and has been associated with the onset of a variety of sensory, cognitive and emotional stimuli. This study investigated the EDA physiological response to manual acupuncture. A group of 60 healthy female volunteers were recruited into the study of which 30 were randomly assigned to a control group (no acupuncture) and 30 to the experimental group (received acupuncture). The experimental group attended three sessions in which acupuncture intervention consisting of unilateral manual stimulation of acupuncture points LU7 and KD6. Results showed that the insertion, stimulation and withdrawal of the acupuncture needles were associated with significant changes in EDA. The insertion of the needle was associated with the highest change in skin potential while the three consecutive manipulations of the needles showed a decline in EDA amplitude, thought to be consistent with physiological habituation. Anxiety level and previous familiarity with acupuncture did not influence outcomes. It is postulated that the change in EDA during needle insertion is non-specific to the type and the function of acupuncture points; however, EDA response may be associated with the precise location of the acupuncture point. If further studies confirm such findings, then EDA may become a valuable physiological marker for the acupuncture phenomenon.

RELATIONSHIP BETWEEN BLOOD RADIOIMMUNOREACTTVE BETA-ENDORPHIN AND HAND SKIN TEMPERATURE DURING THE ELECTRO-ACUPUNCTURE INDUCTION OF OVULATION

Thirteen cycles of anovulation menstruation in 11 cases were treated with Electro-Acupuncture (EA) ovulation induction. In 6 of these cycles which showed ovulation, the hand skin temperature (HST) of these patients was increased after EA treatment. In the other 7 cycles ovulation was not induced. There were no regular changes in HST of 5 normal subjects. The level of radioimmunoreactive beta-endorphin (r beta-E) fluctuated, and returned to the preacupunctural level in 30 min. after withdrawal of needles in normal subjects. After EA, the level of blood r beta-E in cycles with ovulation declined or maintained the range of normal subjects. But the level of blood r beta-E in cycles in which the induction failed to cause ovulation was kept higher that that of normal. (P less than 0.05). There was a negative correlation in the decrease of blood r beta-E and increase of HST after EA (r = 0.677, P less than 0.01). EA is able to regulate the function of the hypothalamic-pituitary-ovarian axis. Since a good response is usually accompanied with the increase of HST, monitoring HST may provide a rough but simple method for predicting the curative effect of EA. The role of r beta-E in the mechanism of EA ovulation induction was discussed.

Rupture of an experimentally induced aneurysm in a primate.

Cerebral aneurysms are extremely rare in all animals except man. We report the occurrence of a carotid-ophthalmic aneurysm in a cynomolgous monkey two months following accidental occlusion of the ipsilateral cervical internal carotid artery. This was documented angiographically. The aneurysm was deliberately ruptured by the insertion and withdrawal of fine needles. This produced a large subarachnoid hemorrhage visualized on CT scan. There was a progressive severe fall in cerebral blood flow and moderate vasospasm. The neurological status deteriorated on the tenth day and the animal was sacrificed on day 13. On electron microscopy, the aneurysm showed a fibrous wall, and the endothelium showed balloon-like endothelial cells with gaps. Corrugations occurred in the inner aspect of the anterior circulation arteries.