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首页> 外文期刊>Issues in comprehensive pediatric nursing. >ATRAUMATIC CARE: EMLA CREAM AND APPLICATION OF HEAT TO FACILITATE PERIPHERAL VENOUS CANNULATION IN CHILDREN
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ATRAUMATIC CARE: EMLA CREAM AND APPLICATION OF HEAT TO FACILITATE PERIPHERAL VENOUS CANNULATION IN CHILDREN

机译：无创伤护理：蜜蜡乳膏和热量在促进儿童外周静脉插管中的应用

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摘要

The purpose of this study was to investigate whether the application of heat placed to a child's potential intravenous (IV) site after the application of EMLA Cream~TM decreases vasoconstriction, therefore promoting atraumatic care in the hospitalized pediatric patient.Venipuncture in children is a painful and frequently performed procedure. While use of EMLA Cream~TM to reduce pain on insertion is a common practice with pediatric patients, no studies had measured venous size in relation to EMLA Cream? and heat application. A descriptive quantitative design was used to examine the use of EMLA Cream~TM and application of heat to facilitate venipuncture for peripheral venous cannulation. A convenience sample of 30 hospitalized Caucasian children, eight to twelve years old, participated. Vascular ultrasound directly measured the vein prior to and 1 hour after EMLA Cream~TM application, as well as 2 minutes after heat application.Mean vein measurements were 0.243 cm prior to EMLA Cream~TM, 0.205 cm after EMLA Cream~TM applied for 1 hour, and 0.253 cm after two minutes of heat. There was a significant increase in vein visualization from pre-application of heat to post application of heat with a success rate of 80% with the first time attempt of IV insertion. Therefore, application of heat counteracts the adverse effect of vasoconstriction that occurs with EMLA Cream~TM application, potentially increasing peripheral venous cannulation success rates.
机译：这项研究的目的是调查在使用EMLA Cream〜TM后向儿童潜在的静脉（IV）部位施加热量是否会减少血管收缩，从而促进住院小儿患者的无创伤护理。儿童静脉穿刺是一种痛苦的方法和经常执行的程序。虽然使用EMLA Cream〜TM减轻插入疼痛是儿科患者的常见做法，但尚无研究测量与EMLA Cream相关的静脉大小？和加热应用。描述性的定量设计用于检查EMLA Cream〜TM的使用和加热以促进静脉穿刺以进行外周静脉插管。一个便利样本包括30名八到十二岁住院的白人儿童。血管超声直接测量EMLA Cream〜TM涂抹前后1个小时以及加热2分钟后的静脉，平均静脉测量值在EMLA Cream〜TM涂抹之前0.243 cm，EMLA Cream〜TM涂抹1次之后0.205 cm小时，并在加热两分钟后达到0.253厘米。从首次加热到首次静脉输注，从加热前到加热后的静脉可视化显着增加，成功率达到80％。因此，施加热量可抵消EMLA CreamTM施加时发生的血管收缩的不利影响，从而有可能增加外周静脉插管的成功率。

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