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Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients
Clinical Medicine Research
Volume 9, Issue 6, November 2020, Pages: 140-144
Received: Dec. 14, 2020; Accepted: Dec. 22, 2020; Published: Dec. 31, 2020
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Authors
Mei Feng, Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China
Ni Zhang, College of Nursing, Jinan University, Guangzhou, China
Miaohang Shan, Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China
Yanbin Pan, Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China
Wanxian Lu, Department of Intensive Medicine, the First Affiliated Hospital of Jinan University, Guangzhou, China
Qingran Lin, Department of Nursing, the First Affiliated Hospital of Jinan University, Guangzhou, China
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Abstract
Background: Catheter failure means that the arterial catheter loses its original real-time and accurate function of monitoring the blood pressure due to various causes, such as blockage, buckling, displacement of the catheter, edema, bleeding, and oozing of the punctured limb requiring catheter removal. However, there have been few studies about the catheter failure and its related influencing factors. The present study aims to explore the status and influencing factors of failed ultrasound-guided invasive arterial catheterization in ICU patients. Methods: 264 patients who underwent ultrasound-guided invasive arterial catheterization from January 2019 to December 2019 were analyzed retrospectively to observe the status and failure of the arterial catheterization. Statistical analysis was performed using SPSS22.0 software. Results: Among the 264 cases with invasive arterial catheterization, 59 cases had catheter failure, the incidence was 22.34%. Single factor analysis showed that the use of analgesics, the protective catheter sleeve, and the affected limb restraints could prevent catheter failure significantly (P<0.05). The result of multivariate logistic regression analysis showed that the affected limb restraints, and the use of analgesics were protective factors against the failure of invasive arterial catheterization (P<0.05), with OR values of 0.454 and 0.450, respectively. Conclusion: Under ultrasound guidance, the incidence of catheter failure after invasive arterial catheterization is low. For the ICU patients undergoing invasive arterial catheterization, analgesics should be used, affected limbs should be constrained, and health education, and communication should be conducted to further reduce the incidence of catheter failure.
Keywords
Intensive Care Unit, Ultrasound Guidance, Invasive Arterial Catheterization, Catheter Failure, Influencing Factors
To cite this article
Mei Feng, Ni Zhang, Miaohang Shan, Yanbin Pan, Wanxian Lu, Qingran Lin, Analysis of the Status and Influencing Factors of Failed Ultrasound-guided Invasive Arterial Catheterization in ICU Patients, Clinical Medicine Research. Vol. 9, No. 6, 2020, pp. 140-144. doi: 10.11648/j.cmr.20200906.14
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Chen Yi, Wu Lei. Effect evaluation of ultrasound-guided puncture in establishing invasive blood pressure pathway in ICU. Contemporary Medical Symposium. 2020; 18 (1): 267-268.
[2]
Peng Yan, Wang Junying, Peng Xuegang, Wen Gang, Qiao Ming, Liu Jie. Study on the invasive arterial pressure monitoring in acute and critical patients. Chinese Community Doctors. 2015; 31 (33): 110-112.
[3]
LaRue GD. Efficacy of ultrasonography in peripheral venous cannulation. J Intraven Nurs. 2000; 23 (1): 29-34.
[4]
Ye Hongbo, Qian Qindan, Zhang Xiaochun, Zhang Shaoli, Shi Xiuxia. Application of ultrasound-guided radial artery puncture and catheterization in patients with hemorrhagic shock. Chinese Journal of Rural Medicine and Pharmacy. 2015; 22 (17): 22-23.
[5]
Huang Limin. Causes and nursing strategies of complications in invasive arterial pressure monitoring. Journal of Nursing and Rehabilitation. 2008; 7 (2): 110-111.
[6]
Wu Jiamin, Jiang Zhiping, Jiang Yuqin. Observation on the application of ultrasound-guided invasive arterial puncture and catheterization in traumatic shock patients. Journal of Nursing and Rehabilitation. 2018; 7 (2): 66-67.
[7]
Nie Liang, Liu Xiaofeng, Xie Hongying, et al. Application of B-ultrasound guided arterial catheterization in ICU shock patients. Contemporary Medicine. 2017; 23 (17): 5-7.
[8]
Liu Wencai, Wang Fengyun, Zhou Ailing, Li Mingzhen. Factors affecting the accuracy of invasive arterial blood pressure and nursing strategies. Chinese Journal of Practical Nursing. 2006; 22 (5): 48.
[9]
Wang Xiaorong, Liang Rong, Yuqin, Zhao Defeng, Xu Zhi. Application of quality control ring to reduce the failure rate of peripheral invasive arterial catheters. Journal of Clinic Nursing's Practicality. 2018; 3 (49): 100-103.
[10]
Wang Juan. Application of invasive blood pressure monitoring by catheterization of radial artery and posterior tibial artery in critically ill neonates. Infection International (Electronic Version). 2020; 9 (1): 105.
[11]
Powell JT, Mink JT, Nomura JT, et al. Ultrasound-guidance can reduce adverse events during femoral central venous cannulation. J Emerg Med. 2014; 46 (4): 519-24.
[12]
Troianos CA, Hartman GS, Glas KE, et al. Guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2011; 24 (12): 1291-318.
[13]
Wang Xiaorong, Liang Rong, Yu Qin, Zhao Defeng, Xu Zhi. Analysis and strategies of bleeding-related factors in puncture site after transradial PCI. Journal of Clinic Nursing's Practicality. 2017; 2 (29): 174-176.
[14]
Zhu Chunmin. Application of humanistic nursing model in psychiatric nursing. Journal of Clinical Psychosomatic Diseases. 2016; 22 (z1): 234-235.
[15]
Zhu Shengchun, Jin Yumei, Xu Zhihong, Xia Fengying, Luo Na. Analysis of the characteristics of physical restraint usage and nursing status of ICU patients. Chinese Journal of Nursing. 2009; 44 (12): 1116-1118.
[16]
Xie Chen. Application value of humanized protective restraints in ICU nursing management. Journal of clinical medical literature. 2020; 7 (30): 108.
[17]
Li Na, Xing Yan, Zhang Shanshan, Wang Shulian. Application value of humanized protective restraints in ICU nursing management. Journal of clinical medical literature. World Latest Medicine Information (Continuous electronic journal). 2018; 18 (5): 250.
[18]
Wang Yingying, Song Yan. Observation on the application effect of humanized protective restraints in ICU nursing. Journal of clinical medical literature. 2019; 6 (1): 125-126.
[19]
Li Jiaxing, Ren Zhijun, Zhang Zijun, Cheng Anqi, Zhang Tingting, Xia Xinhua. Effects of comprehensive restraint reducing program on unplaned extubation among ICU patients with tracheal intubation. Chinese Journal of Nursing. 2017; 52 (5): 549-553.
[20]
Wang Guoying, He Xiaoci, Gao Mengying, Ma Yanxin, Tian Jiao, Tian Suzhai. Application of continuous quality improvement in physical restraint management. Chinese Journal of Practical Nursing. 2016; 32 (11): 840-843.
[21]
Qu Ruyi, Fu Xiaoyan. The effect of nursing interventions combined with programmed sedation and analgesia on ICU patients. Electronic Journal of Practical Clinical Nursing Science 2019; 4 (26): 21.
[22]
Chen Zhilin, Chen Xi, Zheng Panpan, Chen Peiying, Meng Liping. The effect of early progressive rehabilitation training on the recovery of neuromuscular function in critically ill patients with mechanical ventilation. Medical Diet and Health. 2020; 18 (9): 11-13.
[23]
Wang Caihong, Qin Junmei, Ben Yanli. Early rehabilitation training improves ICU acquired muscle weakness in patients with mechanical ventilation. Chinese Nursing Management. 2019; 19 (3): 457-461.
[24]
Zhang Jing. Analysis of the causes of accidental extubation of invasive arterial blood pressure monitoring and nursing strategies. Chinese General Practice Nursing. 2015; (25): 2493-2495.
[25]
Liang Qing, Yang Ning. Discussion on quality control circle activity in reducing accidental extubation of central venous catheterization. Chinese Medical Innovations. 2014; (13): 95-97.
[26]
Wu Xiaolian. Analysis of the causes of accidental extubation of deep vein catheterization and nursing strategies. Journal of Nursing and Rehabilitation. 2009; 8 (10): 859-860.
[27]
Zhou Lijin. Analysis of the causes of unplanned extubation of ICU patients with tracheal intubation and nursing strategies. Medical Information (Early Issue). 2010; 23 (9): 3170-3171.
[28]
Chen Jie, Zhang Haiyan, Wu Xiaoying, Lu Qian. Research progress of objective pain assessment in adult critically ill patients. Chinese Journal of Nursing. 2014; 49 (3): 355-359.
[29]
Zhang Haiyan, Chen Jie, Wu Xiaoying, et al. Survey of pain nursing management status in 40 hospitals of China. Chinese Nursing Management. 2014; (11): 1121-1124.
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