Clinical efficacy of infusion cathetering in different sites in patients with cardiopulmonary resuscitation

doi:10.3877/cma.j.issn.2095-9133.2016.04.008

Abstract

Abstract:

Objective

To investigate and analyze the clinical effects of different sites of the infusion cathetering in patients with cardiopulmonary resuscitation (CPR).

Methods

From February 2013 to January 2013 42 patients with cardiopulmonary resuscitation (CPR) were randomized into internal jugular vein catheter group, subclavian venipuncture catheter group and bone marrow cavity catheter group; after emergency treatment the effects of cathetering were compared among the three groups.

Results

In bone marrow cavity catheter group time of setting up infusion channel [(2.03±0.44)min) was shorter significantly than the other two groups [(3.51±2.57)min; (3.01±1.07)min], with statistical difference (P< 0.05); after successful bone marrow cavity cathetering, restoration time of blood pressure was shortened as compared with other two groups [(12.33±0.95)min vs.(14.97±2.02)min and(13.97±1.01)min], with statistical difference; the success rate of bone marrow cavity cathetering was 100% (10/10) was higher that that of internal jugular vein catheter group [83.5%(10/12)] and subclavian venipuncture catheter group [87.5%(14/16)], with statistical difference; catheter-related infections was lower than the other two groups(0% vs. 6.25% and 16.66%), with statistical difference (P< 0.05).

Conclusions

The infusion channel establishment procedure of bone marrow cavity is simple, quick, convenient and time effectiveness, which is worth promoting for CPR patients.

Key words: Emergency treatment, Cardiopulmonary resuscitation, Veins

Shibin Yao, Zhongji He, Hongda Zhang, Lei Deng, Shixin Fu, Liwei Pan, Jianzhu Zhou. Clinical efficacy of infusion cathetering in different sites in patients with cardiopulmonary resuscitation[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2016, 02(04): 233-236.

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Figures/Tables 3

References 17

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组别	例数	置管成功率	导管相关性感染
颈内静脉	16	10(83)	2(17)
锁骨下	16	14(88)	1(6)
骨髓腔内	10	10(100)	0(0)

组别	例数	置管成功率	导管相关性感染
颈内静脉	16	10(83)	2(17)
锁骨下	16	14(88)	1(6)
骨髓腔内	10	10(100)	0(0)

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