Application of Two Methods of Venipuncture in the Intrapartum Infusion
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Abstract:
Objective:Compare the applied effects of two methods of Venipuncture in the intrapartum infusion.Methods:220 cases of maternal venipuncture were randomized divide into observation group with 115 and control group with 105.the observation group use the BD20gY Intravenous catheter made by German Braun Corporation to establish venous access,the control group use No.7 metal scalp needle.compared the puncture time,one-time puncture success rate,the occurrence of subcutaneous hematoma in infusion,needle extrusion and liquid patency.Results:there is no significant difference in puncture time and one-time puncture success rate(P0.05),the difference in the occurrence of subcutaneous hematoma in infusion,needle extrusion and liquid patency was statistically significant(P0.01).Conclusions:BD20gY intravenous catheter is better than ordinary metal scalp needle in the intrapartum infusion.Keywords:
Venipuncture
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Objective Comparing the two ways intravenous ling BD-needle aspiation catheter tube infusion of Aiyishu (Disodium Cantharidinate and Vitamin B6 Injection) affect blood vessels.protect the blood vessels in patients.alleviate the pain caused by phlebitis. Method The 76 cases of female breast cancer patients were randomly divided into two groups.Jugular veins cathether needle retention BD group has 33 cases.Forearm veins catheter needle retention BD group has 43 cases.Comparing the two groups observed in patients with Aiyishu infusions of speed, the incidence of phlebitis, the BD' s indwelling catheter time and so on. Result There were differences between the two groups in Aiyishu infusions of speed (P0.05). There were signifi cent differences in the incidence of phlebitis and the BD' s indwelling catheter time between the Jugular vein group and the Forearm veins groups(P0.01). Conclusion The Jugular vein group was superior to forearm veins groups, regarding the request long time infusion Aiyishu’s patients, we suggest the fi rst choice is the Jugular vein catheter.
Jugular vein
Internal jugular vein
Indwelling catheter
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Objective We attempt to compare the effects of venous indwelling needle and the traditional scalp acupuncture in pediatric transfusion,and to explore the appropriate puncture site of venous indwelling needle. Methods 964 patients were randomly divided into experimental group and control group,patients in experimental group was treated with venous indwelling needle infusion while patients in control group were given traditional scalp acupuncture transfusion,then we surveyed the satisfaction rate of children's parents,success rate of the first puncture and adverse reactions,aimed to compare the effects of the two groups,and compared effect between head group and the hand- foot group within experimental group. Results Satisfaction rate of experimental group was higher than that of control group( P 0. 05). Successful rate of the first puncture of experimental group was higher than that of control group,however,the proportion of leakage,off pipe,pipe plugging and phlebitis were lower than control group( all P 0. 05). In experimental group,successful rate of the first puncture on hand- foot group was higher than the head group,meanwhile,the proportion of leakage and off pipe were lower than the head group( all P 0. 05). Conclusions Compared with the traditional scalp acupuncture transfusion in pediatric nursing,venous indwelling needle can reduce the number of puncture and theoccurrence of leakage,off pipe,pipe plugging and phlebitis,the priority site of puncture should be hand and foot.
Foot (prosody)
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Objective
To explore the advantages of external jugular vein needle puncture in the treatment of intravenous access and intravenous blood extraction of patients with acute traumatic shock.
Methods
A total of 203 patients with acute traumatic shock were selected from January 2015 to October 2016 in the Department of Emergency, the Chinese People′s Liberation Army Rocket Forces General Hospital. The patients were divided into experimental group (n=102) and control group (n=101) according to random number method. Jugular accesses of patients in the experimental group were established by extracting blood with external jugular vein puncture. Jugular accesses of patients in the control group were established by extracting blood with peripheral jugular vein puncture. The success rate of vein puncture, vein puncture blood and establishing venous access, vein puncture in 2 minutes were recorded respectively. The number of punctures to establish the venous access successfully were recorded, too. The counting data were processed with χ2 test, and the measurement data were processed with t test.
Results
The success rate of vein puncture was 99.1% in the experimental group and 92.8% in the control group, and there was significant difference between the two groups(χ2=4.81, P< 0.05). The success rate of vein puncture blood and establishing venous access in the experimental group was 98.04% while the control group was 82.18%, and there was significant difference between the two groups(χ2=14.37, P<0.05). The success rate of vein puncture was 91.18% in the experimental group and 70.30% in the control group, there was significant difference between the two groups (χ2=14.25, P<0.05). The number of punctures in the experimental group was (1.13±0.40) times and it was (1.41±0.93) times in the control group, and there was significant difference between the two groups (t= 3.28, P<0.05).
Conclusion
The external jugular vein puncture in emergency resuscitation of patients with acute traumatic shock can improve the success rate of vein puncture blood and establishing venous access.
Key words:
Phlebotomy; Shock, traumatic; Emergency medical services; Intravenous infusion
Internal jugular vein
Jugular vein
Venous blood
External jugular vein
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Objective: To find effective puncture method of less pain and higher success rate with intravenous catheter in clinical application, we compared reverse vein puncture with along vein puncture. Methods: 200 patients grouped experiential and control group with randomized control trail (RCT), the success or failure cases at the first puncture and phlebitis occurred cases were carefully observed and wrote down under the corresponding table. Chi-square test was used to inspect the significance difference in the two groups. Results: The success rate of the first puncture has significance difference between the two groups: reverse puncture is 97 percent, along vein puncture is 84 percent (x2 equals 4.187, P0.05).And the rate of phlebitis occurrence has no significance difference (x2 equals 1.692, P 0.05).Conclusion:Reverse puncture can increase the success rate at the first puncture without increasing the rate of phlebitis.
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Objective To compare the effects of direct-type intravenous catheter and Y-type intravenous catheter in intravenous infusion.Methods A total of 180 cases were randomly divided into direct-type intravenous catheter group and Y-type intravenous catheter group,90 cases in each group.The one-time success rate of venipuncture,the rate of plugging,indwelling time,the incidence rate of complications and the patients' comfortable degree were compared between the two groups.Results There were significant differences between two groups in the one-time success rate of venipuncture,the rate of plugging,indwelling time,the incidence rate of complication and the patients' comfortable degree(P0.01 or P0.05).Conclusion Compared with Y-type intravenous catheter,direct-type intravenous catheter has higher success rate of venipuncture,lower plugging rate,longer indwelling time,and patients are more comfortable.So direct-type intravenous catheter can be safely used in practice and should be widely used.
Venipuncture
Intravenous therapy
Indwelling catheter
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Objective To compare the effect of ultrasound-guided peripherally inserted central catheter and ordinary puncture,and to explore an option of low risk,less pain for patients and higher nursing quality.Methods 167 patients who had undergone chemotherapy by PICC before or after breast cancer surgery in our hospital from Oct.2008 to Sep.2009 were retrospectively selected and divided into two groups:experimental group (ultrasound-guided PICC group,58 cases) and control group (routine puncture group,109 cases).Complications of the puncture site,armpit reversal,times of puncture,incidence of venous thrombosis,operation time of puncture and dressing change were compared between the two groups.Results Significant differences were found of complications of the puncture site,times of puncture,operation time of puncture and dressing change (P＜0.01),as well as incidence of infection (P＜0.05).There was no significant difference of armpit reversal between the two groups (P ＞ 0.05).Neither mechanical phlebitis nor venous thrombosis was reported.Conclusions Ultrasound-guided PICC is superior to routine puncture.
Key words:
Peripherally inserted central catheter; Type-B ultrasound; Complication; Infection; Operation time
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Objective To explore the effect of closed-end catheter scalp vein infusion,clinical care for references.Methods 190 cases of scalp vein infusion in patients admitted to hospital in 2010 from July to October 2011 were randomly divided into two groups,control group 95 patients were given conventional needle puncture treatment,the experimental group were treated with closed catheter indwelling needle treatment to compare two groups of patients during treatment phlebitis incidence of complications and patients' family members.Results The statistical analysis of the experimental group of 95 patients,there were complications in 3 cases,lower than the control group of 14 cases,P 0.05;experimental group family members of patients satisfaction was 98.95%,higher than the 89.47% P 0.05.Conclusion The use of closed catheter in the scalp vein infusion is a better effect,you can better ensure the safety of patients with transfusion.
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Objective It studies on preterm children who indwelling axillary vein puncture needle retention time and adverse reactions.Methods From February 2008 to August 2009,68 cases of catheter infusion in preterm children with an object in 33 cases of axillary intravenous infusion,35 patients with peripheral intravenous infusion,for the two groups first puncture success rate,catheter prolapse,retention time for analysis.Results Axillary venipuncture retention time was longer than the peripheral vein,and no obvious adverse reactions.Conclusion Axillary vein catheterization in children significantly reduced the pain and the workload of nurses is a safe and economical route may be in the neonatal ward and NICU widely used.
Venipuncture
Axillary vein
Indwelling catheter
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Objective To observe the effect and nursing care on venous indwelling needle in the operation room.Methods Choose our department since January 2009 to December 2010 anesthesia in 213 cases of surgical patients were randomly divided into control group and observation group.107 patients were given intravenous catheter infusion,106 patients,in the control group receired routine intravenous infusion technique,Two groups were compared efficacy of different intravenous infusion methods,and security analysis.Results The patients choose to use the intravenous catheter in 107 cases,103 cases of one-time operation is successful,the operation failure in 4 cases,the operation a success rate of 96.26%,complications occurred in 2 cases,the rate was 1.87%,no infusion reaction;In control group one-time operation is successful in 99 cases,7 cases of faulty operation,the operation a success rate of 93.40%,complications occurred in 9 cases,incidence rate of 8.49%,infusion reactions occurred in 1 case,Comparison of two groups clinical nursing(P0.05),was significant difference.Conclusion Intravenous catheter tube soft,easy to damage blood vessels,can reduce the incidence of complications such as extravasation,in favor of surgical anesthesia and changing body position,the effective protection of the blood vessels,while reducing the number of postoperative infusion needle,the clinical results were satisfactory.
Extravasation
Intravenous therapy
Infusion therapy
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Objective: To investigate the advantages of intravenous indwelling needle in cardiac interventional therapy. Methods: A total of 542 patients who were underwent percutaneous coronary intervention were included into this study,including 385 male patients and 157 female patients. According to different puncture methods,they were randomly divided into intravenous indwelling needle group( n = 271) and scalp needle group( n = 271). The two groups had no statistically significant differences in age and difference( P 0. 05). The swelling and leakage of the puncture site were observed,and the advantages and disadvantages of intravenous indwelling needle in cardiac interventional therapy were compared. Results: The success rate of one- time puncture of scalp needle group was 96. 31%( 261 /271),and leakage occurred in 10 cases( 3. 69%); while the success rate of one- time puncture of intravenous indwelling needle group was 99. 26%( 269 /271),and leakage occurred in 2 cases( 0. 74%). The difference of the one- time puncture success rate between the two groups was statistically significant( x2= 5. 45,P 0. 05). Conclusions: The intravenous indwelling needles are convenient,safe,and easy to fix,have small stimulation and less leakage,and are superior to scalp needles in cardiac interventional therapy.
Intravenous therapy
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