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A NEWMETHOD FOR PERIPHERALINTRAVENOUS ACCESS: USE OF ULTRASOUND

Yıl 2014, Cilt: 30 Sayı: 3, 68 - 79, 01.11.2014

Öz

Peripheral intravenous catheterization is one of the fundamental procedures o f modern medical çare. İt is important to perform intravenous catheterization quickly and safely. Catheterization performed with traditional methods is usually facilitate successful cannulation. But, conditions such as peripheral vascular collapse, the patient’s underlying medical problems, obesity, prior intravenous drug use, infant or elderly patients are serious difficult with traditional methods. İn this conditions, it is necessary to use of different methods to help intravenous catheterization.Ultrasound offers a new option to start peripheral intravenous access especially in patients with difficult vascular access. İn this article, is explained about ultrasound-guided peripheral venous access techniques and is given recent research about this technique

Kaynakça

  • Aponte H, Acosta S. The Use of Ultrasound for Placement of intravenous Catheters. AA N A Journal 2007; 75(3): 212-216.
  • Aygün M, Yaman HE, Bayındır A. Acil Servislerde Yaşanan Periferal İntravenöz Girişim Güçlüklerinde Ultrasonografi Kullanımı. Akademik Acil Tıp Dergisi 2010; 9(1): 9-16.
  • Aygün M, Yaman HE. Hemşirelik Uygulamalarında Yeni Bir Yaklaşım: Ultrasonografi Eşliğinde Periferal İntravenöz Kateter Uygulaması. Hemşirelikte Araştırma Geliştirme Dergisi 2011; 1: 61-70.
  • Bauman M, Braude D, Crandall C. Ultrasound-Guidance vs. Standard Technique in Difficult Vascular Access Patients by ED Technicians, Am J Emerg Med 2009; 27: 135-140.
  • Blaivas M, Lyon M. The Effect of Ultrasound Guidance on the Perceived Difficulty of Emergency Nurse- Obtained Peripheral IV Access, EMJ 2006; 31(4): 407-410.
  • Blaivas M. Ultrasound-guided Peripheral IV Insertion in the ED: A Two-Hour Training Session Improves Placement Success Rates in One ED, AJN 2005; 105: 10,54-57.
  • Blavias M, Brannam L, Fernandez E. Short-Axis Versus Long-Axis Approaches for Teaching Ultrasound- Guided Vascular Access on a New Inanimate Model, Acad Emerg Med 2003; 10(12): 1307-1311.
  • Brannam L, Blavias M, Lyon M ve ark. Emergency Nurses_Utilization of Ultrasound Guidance for Placement of Peripheral Intravenous Lines in Difficult-Access Patients. Acad Emerg Med 2004; 11(12): 1361-1363.
  • Candan Y, Kaymakçı Ş. Çocuklarda İntravenöz Girişimlerden Önce Lokal Anestetik Etkili Krem Emla Uygulaması İle Eğitim Verilerek Yapılan Hazırlığın Ağrı Üzerine Etkilerinin İncelenmesi. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi 2005;21(1):1-11.
  • Chinnock B, Thornton S, Hendey GW. Predictors of Success in Nurse-Performed Ultrasound-Guided Cannulation, EMJ 2007; 33(4): 401-405.
  • Constantino T, Kirtz J, Satz W. Ultrasound-Guided Peripheral Venous Access vs. the External Jugular Vein as the Initial Approach to the Patient with Difficult Vascular Access. The Journal of Emergency Medicine 2010; 39(4): 462-467.
  • Costantino TG , Parikh AK, Satz W A ve ark. Ultrasonography-Guided Peripheral İntravenous Access Versus Traditional Approaches in Patients With Difficult Intravenous Access. Ann Emerg Med 2005; 46(5): 456-61.
  • Crowley M, Brim C, Barnason S ve ark. Emergency Nursing Resource: Difficult Intravenous Access. J Emerg Nurs 2012; 38: 335-43.
  • Çelik Z, Anıl C. İntravenöz Uygulama Komplikasyonları. Güncel Gastroenteroloji 2004; 8(2): 158-164.
  • Dakak M, Gürkök S, Genç O ve ark. Subklavian Kateter Yygulaması ve Komplikasyonları. Solunum Hastalıkları 2002; 13: 288-291.
  • Dargin J, Rebholz C, Lowenstein R ve ark. Ultrasonography-Guided Peripheral İntravenous Catheter Survival in ED Patients with Difficult Access. American Journal of Emergency Medicine 2010; 28: 1-7.
  • Denys BG, Uretsky BF, Reddy PS. Ultrasound-Assisted Cannulation of the Internal Jugular Vein: A Prospective Comparison to the External Landmark-Guided Technique. Circulation 1993; 87: 1557­ 1562.
  • Elia F, Ferrari G, Molino P ve ark. Standard-Length Catheters vs Long Catheters in Ultrasound Guided Peripheral Vein Cannulation. Am J Emerg Med 2012; 30: 712-716.
  • Gregg SC, Murthi SB, Sisley AC ve ark. Ultrasound-Guided Peripheral Intravenous Access in the Intensive Care Unit. J Crit Care 2010; 25(3): 514-519.
  • Gürsoy AA, Çilingir D. İleri Yaşam Desteğindeki Değişiklikler. Türkiye Klinikleri J Med Sci 2008; 28(6): 916-938.
  • Hilty WM, Hudson PA, Levitt MA ve ark. Real Time Ultrasound Guided Femoral Vein Catherization During Cardiopulmonary Resuscitation. Annual Emergency Medicine 1997; 29: 331-337.
  • İsmailoğlu EG. Ultrason Kullanımının Periferal İntravenöz Kateterizasyonun Başarısına Etkisi. Yayınlanmamış Yüksek Lisans Tezi. İzmir: Ege Üniversitesi Sağlık Bilimleri Enstitüsü; 2011. 51-56.
  • Joing S, Strote S, Caroon L ve ark. Ultrasound-Guided Peripheral IV Placement. N Engl J Med 2012; 366(25): e38-40.
  • Karadağ A. Ven İçi Sıvı Tedavisi: Komplikasyonlar ve Hemşirelik Bakımı. C.Ü. Hemşirelik Yüksekokulu Dergisi 1999; 3(1): 39-47.
  • Keenan S. Use of Ultrasound to Place Central Lines, JCC 2002; 17(2): 126-137.
  • Kerforne T, Petitpas F, Frasca D ve ark. Ultrasound-Guided Peripheral Venous Access in Severely Ill Patients With Suspected Difficult Vascular Puncture. Chest 2012; 141(1): 279.
  • Keyes LE, Frazee BW, Snoey ER ve ark. Ultrasound-Guided Brachial and Basilic Vein Cannulation in Emergency Department Patients with Difficult Intravenous Access. Ann Emerg Med 1999; 34(6): 711­ 714.
  • Kim DK, Choi SW, Kwak YH. The Effect of Sonoprep® on Emla® Cream Application for Pain Relief Prior to İntravenous Cannulation. Eur J Pediatr 2012; 171: 985-988.
  • Lamperti M, Pittiruti M. Difficult Peripheral Veins: Turn on the Lights. British Journal of Anaesthesia 2013; 110(6): 891-5.
  • Mahler S, Wang H, Lester C ve ark. Short- vs Long-Axis Approach to Ultrasound-Guided Peripheral Intravenous Access: A Prospective Randomized Study. American Journal of Emergency Medicine 2011; 29: 1194-1197.
  • Mahler SA, Wang H, Lester C ve ark. Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department Using a Modified Seldinger Technique. EMJ 2010; 39(3): 325-329.
  • Miles G, Salcedo, A, Spear D. Implementation of a Successful Registered Nurse Peripheral Ultrasound- Guided Intravenous Catheter Program in an Emergency Department. Journal Of Emergency Nursing 2012; 38(4): 353-355.
  • Miller HA, Roth AB, Mills TJ. Ultrasound Guidance Versus the Landmark Technique for the Placement of Central Venous Catheters in the Emergency Department. Acad Emerg Med 2002; 9(8): 800-805.
  • Mills CN, Liebmann O, Stone M ve ark. Ultrasonographically Guided Insertion of a 15-Cm Catheter Into the Deep Brachial or Basilic Vein in Patients With Difficult Intravenous Access. Annals of Emergency Medicine 2007; 50(1): 68-71.
  • Orak M, Üstündağ M, Güloğlu C ve ark. Santral Venöz Kateter Takılan Hastalarda Komplikasyon Gelişimi Üzerinde Etkili Faktörler. Türkiye Acil Tıp Dergisi 2006; 6(2): 51-55.
  • Ovayolu N, Güner İC, Karadağ G. Santral Venöz Kateter (SVK) Uygulanan Hastalarda Uygulama Öncesi ve Sonrası Alınan Önlemlerin Belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2006; 9(3): 26-35.
  • Panebianco N, Fredette J, Szyld D ve ark. What You See (Sonographically) Is What You Get: Vein and Patient Characteristics Associated with Successful Ultrasound-Guided Peripheral Intravenous Placement in Patients with Difficult Access. Academic Emergency Medicine 2009; 16: 1298-1303.
  • Potter PA, Perry AG. Fundamentals of nursing, consepts, process and practice. 4th ed. St. Louis, Missouri: Mosby Yearbook; 97. 1334-1351.
  • Resnick JR, Cydulka RK, Donato J ve ark. Success of Ultrasound-Guided Peripheral Intravenous Access with Skin Marking. Acad Emerg Med 2008; 15(8): 783-793.
  • Riley D, Garcia S. Emergency Department Ultrasonography Guided Long-Axis Antecubital Intravenous Cannulation: How To Do It. Critical Ultrasound Journal 2012; 4: 1-3.
  • Rose JS, Norbutas CM. A randomized Controlled Trial Comparing One-Operator Versus Two-Operator Technique in Ultrasound-Guided Basilic Vein Cannulation. EMJ 2008; 32(4): 431-435.
  • Schoenfeld E, Shokoohi H, Boniface K. Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department: Patient-Centered Survey. Western Journal of Emergency Medicine 2011; 12(4): 475-477.
  • Stein J, George B, River G ve ark. Ultrasonographically Guided Peripheral İntravenous Cannulation in Emergency Department Patients with Difficult Intravenous Access: A Randomized Trial. Ann Emerg Med 2009; 54(1): 33-40.
  • Stein JC, Cole W, Kramer N ve ark. Ultrasound-Guided Peripheral Intravenous Cannulation in emergency department patients with difficult ıv access. acad emerg med 2004; 11(5): 581-583.
  • Stone MB, Nagdev A, Murphy M C ve ark. Ultrasound Detection of Guidewire Position During Central Venous Catheterization. Am J Emerg Med 2010; 28(1): 82-4.
  • Tirado A, Nagdev A, Henningsen C ve ark. Ultrasound-Guided Procedures in The Emergency Department—Needle Guidance and Localization. Emerg Med Clin N Am 2013; 31: 87-115.
  • Walker E. Piloting a Nurse-Led Ultrasound Cannulation Scheme. British Journal of Nurs 2009; 18(14): 854-859.
  • Warrington W, Penoyer D, Kamps T. Outcomes of Using a Modified Seldinger Technique for Long Term Intravenous Therapy in Hospitalized Patients with Difficult Venous Access. JA V A 2012; 17(1): 24-30.
  • Weiner M, Geldard P, Mittnacht A. Ultrasound-Guided Vascular Access: A Comprehensive Review. Journal of Cardiothoracic and Vascular Anesthesia 2013; 27(2): 345-360.
  • White A, Lopez F, Stone S. Developing and Sustaining an Ultrasound-Guided Peripheral Intravenous Access Program for Emergency Nurses. Advanced Emergency Nursing Journal 2010; 32(2): 173-188.
  • Witting MD, Schenkel SM, Lawner BJ ve ark. Effects of Vein Width and Depth on Ultrasound-Guided Peripheral IV Success Rates. JEM 2010; 39(1).

PERİFERAL İNTRAVENÖZ KATETERİZASYON UYGULAMALARINDA YENİ BİR YÖNTEM: ULTRASON KULLANIMI

Yıl 2014, Cilt: 30 Sayı: 3, 68 - 79, 01.11.2014

Öz

Periferal intravenöz kateterizasyon, modern tıbbi bakımın temel uygulamalarından birisidir, intravenöz girişimin, hızlı ve emniyetli bir şekilde yapılması önemlidir. Geleneksel yöntemle gerçekleştirilen kateterizasyonda genellikle başarılı kateterizasyon sağlanmaktadır. Ancak, periferik vasküler kollaps, hastanın altta yatan tıbbi problemleri, obezite, sürekli intravenöz ilaç kullanımı, bebek ya da yaşlı hasta olması gibi durumlarda geleneksel yöntemle ciddi güçlükler yaşanmaktadır. Bu gibi durumlarda, intravenöz kateterizasyona yardımcı olacak farklı yöntemlerin kullanımı bir gereksinim olarak ortaya çıkmaktadır.Ultrason, özellikle damar yolu zor bulunan hastalarda intravenöz kateterizasyonda yeni bir seçenek sunmaktadır. Bu makalede, ultrason eşliğinde gerçekleştirilen periferal venöz girişim tekniği hakkında bilgi verilmiş ve bu konuda yapılan çalışmalara yer verilmiştir

Kaynakça

  • Aponte H, Acosta S. The Use of Ultrasound for Placement of intravenous Catheters. AA N A Journal 2007; 75(3): 212-216.
  • Aygün M, Yaman HE, Bayındır A. Acil Servislerde Yaşanan Periferal İntravenöz Girişim Güçlüklerinde Ultrasonografi Kullanımı. Akademik Acil Tıp Dergisi 2010; 9(1): 9-16.
  • Aygün M, Yaman HE. Hemşirelik Uygulamalarında Yeni Bir Yaklaşım: Ultrasonografi Eşliğinde Periferal İntravenöz Kateter Uygulaması. Hemşirelikte Araştırma Geliştirme Dergisi 2011; 1: 61-70.
  • Bauman M, Braude D, Crandall C. Ultrasound-Guidance vs. Standard Technique in Difficult Vascular Access Patients by ED Technicians, Am J Emerg Med 2009; 27: 135-140.
  • Blaivas M, Lyon M. The Effect of Ultrasound Guidance on the Perceived Difficulty of Emergency Nurse- Obtained Peripheral IV Access, EMJ 2006; 31(4): 407-410.
  • Blaivas M. Ultrasound-guided Peripheral IV Insertion in the ED: A Two-Hour Training Session Improves Placement Success Rates in One ED, AJN 2005; 105: 10,54-57.
  • Blavias M, Brannam L, Fernandez E. Short-Axis Versus Long-Axis Approaches for Teaching Ultrasound- Guided Vascular Access on a New Inanimate Model, Acad Emerg Med 2003; 10(12): 1307-1311.
  • Brannam L, Blavias M, Lyon M ve ark. Emergency Nurses_Utilization of Ultrasound Guidance for Placement of Peripheral Intravenous Lines in Difficult-Access Patients. Acad Emerg Med 2004; 11(12): 1361-1363.
  • Candan Y, Kaymakçı Ş. Çocuklarda İntravenöz Girişimlerden Önce Lokal Anestetik Etkili Krem Emla Uygulaması İle Eğitim Verilerek Yapılan Hazırlığın Ağrı Üzerine Etkilerinin İncelenmesi. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi 2005;21(1):1-11.
  • Chinnock B, Thornton S, Hendey GW. Predictors of Success in Nurse-Performed Ultrasound-Guided Cannulation, EMJ 2007; 33(4): 401-405.
  • Constantino T, Kirtz J, Satz W. Ultrasound-Guided Peripheral Venous Access vs. the External Jugular Vein as the Initial Approach to the Patient with Difficult Vascular Access. The Journal of Emergency Medicine 2010; 39(4): 462-467.
  • Costantino TG , Parikh AK, Satz W A ve ark. Ultrasonography-Guided Peripheral İntravenous Access Versus Traditional Approaches in Patients With Difficult Intravenous Access. Ann Emerg Med 2005; 46(5): 456-61.
  • Crowley M, Brim C, Barnason S ve ark. Emergency Nursing Resource: Difficult Intravenous Access. J Emerg Nurs 2012; 38: 335-43.
  • Çelik Z, Anıl C. İntravenöz Uygulama Komplikasyonları. Güncel Gastroenteroloji 2004; 8(2): 158-164.
  • Dakak M, Gürkök S, Genç O ve ark. Subklavian Kateter Yygulaması ve Komplikasyonları. Solunum Hastalıkları 2002; 13: 288-291.
  • Dargin J, Rebholz C, Lowenstein R ve ark. Ultrasonography-Guided Peripheral İntravenous Catheter Survival in ED Patients with Difficult Access. American Journal of Emergency Medicine 2010; 28: 1-7.
  • Denys BG, Uretsky BF, Reddy PS. Ultrasound-Assisted Cannulation of the Internal Jugular Vein: A Prospective Comparison to the External Landmark-Guided Technique. Circulation 1993; 87: 1557­ 1562.
  • Elia F, Ferrari G, Molino P ve ark. Standard-Length Catheters vs Long Catheters in Ultrasound Guided Peripheral Vein Cannulation. Am J Emerg Med 2012; 30: 712-716.
  • Gregg SC, Murthi SB, Sisley AC ve ark. Ultrasound-Guided Peripheral Intravenous Access in the Intensive Care Unit. J Crit Care 2010; 25(3): 514-519.
  • Gürsoy AA, Çilingir D. İleri Yaşam Desteğindeki Değişiklikler. Türkiye Klinikleri J Med Sci 2008; 28(6): 916-938.
  • Hilty WM, Hudson PA, Levitt MA ve ark. Real Time Ultrasound Guided Femoral Vein Catherization During Cardiopulmonary Resuscitation. Annual Emergency Medicine 1997; 29: 331-337.
  • İsmailoğlu EG. Ultrason Kullanımının Periferal İntravenöz Kateterizasyonun Başarısına Etkisi. Yayınlanmamış Yüksek Lisans Tezi. İzmir: Ege Üniversitesi Sağlık Bilimleri Enstitüsü; 2011. 51-56.
  • Joing S, Strote S, Caroon L ve ark. Ultrasound-Guided Peripheral IV Placement. N Engl J Med 2012; 366(25): e38-40.
  • Karadağ A. Ven İçi Sıvı Tedavisi: Komplikasyonlar ve Hemşirelik Bakımı. C.Ü. Hemşirelik Yüksekokulu Dergisi 1999; 3(1): 39-47.
  • Keenan S. Use of Ultrasound to Place Central Lines, JCC 2002; 17(2): 126-137.
  • Kerforne T, Petitpas F, Frasca D ve ark. Ultrasound-Guided Peripheral Venous Access in Severely Ill Patients With Suspected Difficult Vascular Puncture. Chest 2012; 141(1): 279.
  • Keyes LE, Frazee BW, Snoey ER ve ark. Ultrasound-Guided Brachial and Basilic Vein Cannulation in Emergency Department Patients with Difficult Intravenous Access. Ann Emerg Med 1999; 34(6): 711­ 714.
  • Kim DK, Choi SW, Kwak YH. The Effect of Sonoprep® on Emla® Cream Application for Pain Relief Prior to İntravenous Cannulation. Eur J Pediatr 2012; 171: 985-988.
  • Lamperti M, Pittiruti M. Difficult Peripheral Veins: Turn on the Lights. British Journal of Anaesthesia 2013; 110(6): 891-5.
  • Mahler S, Wang H, Lester C ve ark. Short- vs Long-Axis Approach to Ultrasound-Guided Peripheral Intravenous Access: A Prospective Randomized Study. American Journal of Emergency Medicine 2011; 29: 1194-1197.
  • Mahler SA, Wang H, Lester C ve ark. Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department Using a Modified Seldinger Technique. EMJ 2010; 39(3): 325-329.
  • Miles G, Salcedo, A, Spear D. Implementation of a Successful Registered Nurse Peripheral Ultrasound- Guided Intravenous Catheter Program in an Emergency Department. Journal Of Emergency Nursing 2012; 38(4): 353-355.
  • Miller HA, Roth AB, Mills TJ. Ultrasound Guidance Versus the Landmark Technique for the Placement of Central Venous Catheters in the Emergency Department. Acad Emerg Med 2002; 9(8): 800-805.
  • Mills CN, Liebmann O, Stone M ve ark. Ultrasonographically Guided Insertion of a 15-Cm Catheter Into the Deep Brachial or Basilic Vein in Patients With Difficult Intravenous Access. Annals of Emergency Medicine 2007; 50(1): 68-71.
  • Orak M, Üstündağ M, Güloğlu C ve ark. Santral Venöz Kateter Takılan Hastalarda Komplikasyon Gelişimi Üzerinde Etkili Faktörler. Türkiye Acil Tıp Dergisi 2006; 6(2): 51-55.
  • Ovayolu N, Güner İC, Karadağ G. Santral Venöz Kateter (SVK) Uygulanan Hastalarda Uygulama Öncesi ve Sonrası Alınan Önlemlerin Belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2006; 9(3): 26-35.
  • Panebianco N, Fredette J, Szyld D ve ark. What You See (Sonographically) Is What You Get: Vein and Patient Characteristics Associated with Successful Ultrasound-Guided Peripheral Intravenous Placement in Patients with Difficult Access. Academic Emergency Medicine 2009; 16: 1298-1303.
  • Potter PA, Perry AG. Fundamentals of nursing, consepts, process and practice. 4th ed. St. Louis, Missouri: Mosby Yearbook; 97. 1334-1351.
  • Resnick JR, Cydulka RK, Donato J ve ark. Success of Ultrasound-Guided Peripheral Intravenous Access with Skin Marking. Acad Emerg Med 2008; 15(8): 783-793.
  • Riley D, Garcia S. Emergency Department Ultrasonography Guided Long-Axis Antecubital Intravenous Cannulation: How To Do It. Critical Ultrasound Journal 2012; 4: 1-3.
  • Rose JS, Norbutas CM. A randomized Controlled Trial Comparing One-Operator Versus Two-Operator Technique in Ultrasound-Guided Basilic Vein Cannulation. EMJ 2008; 32(4): 431-435.
  • Schoenfeld E, Shokoohi H, Boniface K. Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department: Patient-Centered Survey. Western Journal of Emergency Medicine 2011; 12(4): 475-477.
  • Stein J, George B, River G ve ark. Ultrasonographically Guided Peripheral İntravenous Cannulation in Emergency Department Patients with Difficult Intravenous Access: A Randomized Trial. Ann Emerg Med 2009; 54(1): 33-40.
  • Stein JC, Cole W, Kramer N ve ark. Ultrasound-Guided Peripheral Intravenous Cannulation in emergency department patients with difficult ıv access. acad emerg med 2004; 11(5): 581-583.
  • Stone MB, Nagdev A, Murphy M C ve ark. Ultrasound Detection of Guidewire Position During Central Venous Catheterization. Am J Emerg Med 2010; 28(1): 82-4.
  • Tirado A, Nagdev A, Henningsen C ve ark. Ultrasound-Guided Procedures in The Emergency Department—Needle Guidance and Localization. Emerg Med Clin N Am 2013; 31: 87-115.
  • Walker E. Piloting a Nurse-Led Ultrasound Cannulation Scheme. British Journal of Nurs 2009; 18(14): 854-859.
  • Warrington W, Penoyer D, Kamps T. Outcomes of Using a Modified Seldinger Technique for Long Term Intravenous Therapy in Hospitalized Patients with Difficult Venous Access. JA V A 2012; 17(1): 24-30.
  • Weiner M, Geldard P, Mittnacht A. Ultrasound-Guided Vascular Access: A Comprehensive Review. Journal of Cardiothoracic and Vascular Anesthesia 2013; 27(2): 345-360.
  • White A, Lopez F, Stone S. Developing and Sustaining an Ultrasound-Guided Peripheral Intravenous Access Program for Emergency Nurses. Advanced Emergency Nursing Journal 2010; 32(2): 173-188.
  • Witting MD, Schenkel SM, Lawner BJ ve ark. Effects of Vein Width and Depth on Ultrasound-Guided Peripheral IV Success Rates. JEM 2010; 39(1).
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Özgün Araştırma
Yazarlar

Ayten Zaybak Bu kişi benim

Yayımlanma Tarihi 1 Kasım 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 30 Sayı: 3

Kaynak Göster

APA Zaybak, A. (2014). PERİFERAL İNTRAVENÖZ KATETERİZASYON UYGULAMALARINDA YENİ BİR YÖNTEM: ULTRASON KULLANIMI. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 30(3), 68-79.