Author/Editor     Fekonja, Zvonka; Pajnkihar, Majda
Title     Use of cutting-edge biomedical devices for intravenous cannulation in the health care of a patient
Translated title     Uporaba sodobnih biomedicinskih pripomočkov za vzpostavljanje periferne venske poti v zdravstveni oskrbi pacienta
Type     članek
Vol. and No.     Letnik 51, št. 1
Publication year     2017
Volume     str. 52-74
ISSN     1318-2951 - Obzornik Zdravstvene Nege
Language     eng, slv
Abstract     Uvod: Biomedicinski pripomočki za vstavljanje intravenske kanile so danes pomemben del opreme, ki naj bi jo medicinske sestre uporabljale pri svojem delu. Namen članka je sistematičen pregled obstoječih raziskav o razpoložljivih biomedicinskih pripomočkih za iskanje perifernih ven, pogostnost in koristnost njihove uporabe v klinični praksi. Metode: Za pregled literature in analizo virov so bile uporabljene zbirke podatkov CINAHL, MEDLINE in ScienceDirect. Iskanje je bilo izvedeno z naslednjimi angleškimi ključnimi besedami in njihovimi sopomenkami, povezanimi z Boolovima operatorjema AND oz. OR: %devices%, %visualization%, %technology%, %cannulation%, %vein%, %nursing care%. V analizo so bile vključene ekperimentalne in neeksperimentalne klinične raziskave, objavljene od leta 2000 do avgusta 2016 v angleškem jeziku. Iz iskalnega nabora 1020 zadetkov je bilo v končno analizo vključenih 17 raziskav. Rezultati: Rezultati so pokazali, da uspešnost prvega poskusa vstavljanja intravenske kanile z biomedicinskimi pripomočki pri več kot polovici raziskav ni značilno višja od konvencionalne metode. Uspešnost prvega poskusa vstavljanja je odvisna predvsem od izkušenosti in spretnosti medicinske sestre. Biomedicinski pripomočki so dragocena pomoč neizkušenim medicinskim sestram, ki venepunkcije ne izvajajo vsakodnevno, začetnicam in študentom zdravstvene nege. Diskusija in zaključek: Na podlagi raziskave ne moremo z gotovostjo trditi, da biomedicinski pripomočki bistveno pripomorejo k lažji vzpostavitvi perifernega venskega kanala. Za potrjevanje prednosti takšnega pristopa bodo potrebna nadaljnja raziskovanja, vendar pa so le-ta omejena z majhno dostopnostjo biomedicinskih pripomočkov.Introduction: Biomedical devices are tools used for locating invisible and impalpable peripheral veins. The purpose of this article is to give a systematic review and analysis of existing studies on the available biomedical devices used for locating peripheral veins and on their effectiveness in clinical practice. Methods: Databases CINAHL, Medline and ScienceDirect were used for the literature review and analysis. The search was performed with the following key words in English: devices, visualization, technology, cannulation, vein, nursing care, with Boolean operators 'AND' and 'OR'. The analysis included randomized and experimental clinical studies published in the English language in the period from 2000 to August 2016. From a total of 1,020 retrieved studies, 17 were included in the detailed analysis. Results: The results of the analysis have shown that the success rate of the first attempt of intravenous cannulation using biomedical devices in more than half of the studies was not significantly higher than when the process was performed using the conventional method. The success of the first attempt of intravenous cannulation mostly depends on the experience and skills of nurses. Biomedical devices are more helpful for novice nurses who do not perform cannulation on a daily basis, for beginners and nursing students. Discussion and conclusions: Based on research, we cannot affirm that biomedical devices significantly contribute to easier peripheral venous cannulation. Further research is required to validate the advantages of such an approach. However, this is limited due to the affordability issues of such biomedical devices.
Keywords     biomedicinski pripomočki
intravenska kanila
zdravstvena nega
otežen venski dostop
biomedical devices
intravenous cannula
nursing
difficult venous access