Đánh giá hiệu quả xử trí, chăm sóc bệnh nhi bị rò rỉ, thoát mạch tại Trung tâm ung thư bệnh viện Nhi Trung ương năm 2023=Outcome evaluation of nursing intervention in IV infiltration extravasation in the Oncology center

Đánh giá hiệu quả xử trí, chăm sóc bệnh nhi bị rò rỉ, thoát mạch tại Trung tâm ung thư bệnh viện Nhi Trung ương năm 2023=Outcome evaluation of nursing intervention in IV infiltration extravasation in the Oncology center – National Children’s hospital 2023

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Tác giả: Ngọc Lan Bùi, Thị Ngọc Nguyễn, Thị Thơ Nguyễn, Thị Thu Hằng Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.298-304

Bộ sưu tập: Báo, Tạp chí

ID: 478260

Thêm vào giỏ

Đánh giá hiệu quả xử trí, chăm sóc bệnh nhi bị rò rỉ, thoát mạch. Đối tượng nghiên cứu: BN có tiêm truyền tĩnh mạch và có biểu hiện rò rỉ, thoát mạch. Phương pháp nghiên cứu: Mô tả tiến cứu. Kết quả: 62 bệnh nhi (BN) rò rỉ thoát mạch được ghi nhận và xử trí theo phác đồ. Trong số các ca thoát mạch, có 10 ca sử dụng thuốc đặc hiệu (16,1%), 08 ca thay băng rửa vết thương, 06 ca chiếu tia plassma, 03 ca sử dụng liệu pháp hút áp lực âm, 02 ca chuyển vạt da và 01 ca ghép da. Thời gian lành thương ở nhóm hóa chất gây phồng rộp Vinca alkaloids và Anthracyclines là >
5 ngày, các thuốc còn lại là 1-2 ngày (58%) hoặc 3-5 ngày (12,9%). Kết quả chăm sóc với tỉ lệ lành thương không để lại sẹo: 69,4%, lành thương có để lại sẹo: 27,4%, chưa lành thương: 3,2%. Kết luận: Thoát mạch là một trong những biến chứng nghiêm trọng liên quan đến tiêm truyền tĩnh mạch. Nhận biết sớm và xử trí đúng cách sẽ giảm thiểu tổn thương cho BN. Quản lý thoát mạch tốt nhất là giám sát liên tục vị trí truyền thuốc.Prospective, descriptive study. Results: 62 patients with infiltration, extravasation were identified and managed in according to the hospital's protocol. For injury treatment: among the extravasation cases, ten cases used specific medication (16,1%), eight cases required dressing changes, six cases required micro plasma beam, three cases used NPWT, two cases needed skin flap transfer and one case needed skin graft. The typical healing time for the vesicant drugs group Vinca alkaloids and Anthracyclines is undefined. The other cases range from 1-2 days (58%) or 3-5 days (12.9%). At the end of the study, the rate of wound closure without scar formation was 69.4%, wound healed with scar: 27.4% and not fully closures: 3.2%. Conclusion: Extravasation is one of the significant complications associated with IV therapy. Early recognition and appropriate management will minimize damage to the patient. The best management of infiltration and extravasationl is continuous monitoring of the infusion site.

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