A New Approch In Nursing Practice: Ultrasound-Guided Periferal Intravenous Catheterization

Year 2011, Volume: 13 Issue: 1, 61 - 70, 01.04.2011

Mahmure Aygün Hacer Erten-yaman

Abstract

Could we anticipate that we could see veins which we use for intravenous access 20 years ago? Nowadays, visual technologies create new and different ways for knowledge and skills of nursing as in other medical sciences. The ultrasonography which is called the Millennium stethoscope is being used as a new technology in both ultrasound-guided peripheral intravenous catheterization and peripherally inserted central catheterization, especially in patients with difficult intravenous access. Ultrasonography which is designed for vascular access is an ideal device for intravenous catheterization because it is small and portable. Moreover, it provides screening in real time, it doesn’t contain ionizing radiation and it can localize arters and veins clearly. Besides, this device can determine anatomic variations and venous thrombosis and it allows to use with standard intravenous catheters without any additional equipment. Ultrasonography guided peripheral intravenous catheterization is a new technique which can be used by nurses since it has lots of benefits such as; • It increases the success of application in the first attempt • The complications related with multiple cannulation attempts decreases • The time required for intravenous access reduces especially in emergency cases • The pain and discomfort reduces and satisfaction of patient increases • It reduces hospitalization time and costs of patient care by decreasing the necessity for central catheter, and personnel, equipment needed for this application to minimum levels. This article is written to inform about ultrasonography guided peripheral intravenous catheterization which is included in application protocols since 1990s in the world; to underline the benefits of usage in service routine on patients, nurses and the cost; and lastly, to revise the studies done about this technique in the world.

Keywords

Peripheral difficult venous access, ultrasound-guided vein cannulation

HEMŞİRELİK UYGULAMALARINDA YENİ BİR YAKLAŞIM: ULTRASONAGRAFİ EŞLİĞİNDE PERİFERAL İNTRAVENÖZ KATETER UYGULAMASI

Abstract

Yirmi yıl önce intravenöz giriş için kullanacağımız damarları görebileceğimizi hayal edebilir miydik? Günümüzde, görüntülü teknolojiler diğer tıp bilimlerinde olduğu gibi hemşirelik bilgi ve becerileri için de yeni ve farklıalanlar yaratmaktadır. Milenyum stetoskobu olarak adlandırılan ultrasonografi, son yıllarda özellikle venöz girişimde güçlük çekilen hastalarda yeni birteknoloji olarak periferal intravenöz kateterizasyon ve periferal olarak yerleştirilen santral kateterizasyon uygulamalarında kullanılmaktadır. Vaskülergirişler için tasarlanmış ultrasonografi cihazının, küçük boyutlu ve taşınabilir olması, gerçek zamanlı görüntü sağlaması, iyonizan radyasyon içermemesi, arter ve venleri net olarak lokalize edebilmesi, anatomik varyasyonları vevenöz trombozu tespit edebilmesi, standart intravenöz kataterlerle bu işleminuygulanabilmesi ve ek malzeme gerektirmemesi gibi özellikleri ultrasonografiyi intravenöz kateterizasyon için ideal bir araç haline getirmektedir. Ultrasonografi eşliğinde yapılan periferik intravenöz kateterizasyon aşağıdabelirtilen faydaları nedeniyle hemşireler tarafından kullanılabilecek yeni birtekniktir:• İlk giriş denemesinde işlem başarısını arttırır.• Çoklu giriş denemelerine bağlı oluşabilecek komplikasyonları azaltır.• Özellikle acil durumlarda işlem için gerekli süreyi kısaltır. • Hastada ağrı ve rahatsızlığı azaltarak memnuniyeti arttırır.• Santral kateter yerleştirme ihtiyacını ve bu işlemin getireceği personel,ekipman kullanımını en aza indirip, hastanede kalış süresini azaltarak hastabakım maliyetlerini düşürür. Sunulan makale dünyada 1990’lardan bu yana uygulama protokollerine dahil edilmiş olan ultrasonografi eşliğinde periferal intravenöz kateter yerleştirme işlemi hakkında bilgi vermek, servis rutinlerinde kullanılmasının hastalara, hemşirelere ve maliyete getireceği yararları ortaya koymak ve dünyada kullanımı ile ilgili yapılan çalışmaları gözden geçirmek amacı ile yazılmıştır

Keywords

Periferal güç venöz giriş, ultrasonografi eşliğinde venöz giriş

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