Implementation of an ultrasound-guided approach for arterial line placements in neonates-quality improvement project

被引：0

作者：

Culjat, Marko ^{[1
,2
]}

Dzaja, Domagoj ^{[3
]}

Colangelo, Heather ^{[2
]}

Gardiner, Jill ^{[2
]}

Lee, Kyong-Soon ^{[1
,2
]}

Whyte, Hilary ^{[1
,2
]}

机构：

[1] Hosp Sick Children, Dept Paediat, Div Neonatol, Toronto, ON, Canada

[2] Hosp Sick Children, Acute Care Transport Serv, Toronto, ON, Canada

[3] Univ Zagreb, Sch Med, Dept Anat, Zagreb, Croatia

来源：

JOURNAL OF PERINATOLOGY | 2024年 / 44卷 / 10期

关键词：

CANNULATION; CHILDREN; INFANTS;

D O I：

10.1038/s41372-023-01860-9

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: Our goal was to improve placement success rates for peripheral arterial line (PAL) placements by introducing an ultrasound-guided (USg) approach. Our aim was to maintain success rates over 70% within 18 months. STUDY DESIGN: Interventions included development of a training curriculum, and procedure standardization. Among 302 patients, 115 underwent USg catheter placement; the traditional method was used in 187 patients. Outcome measures were first-attempt and overall success rates. Process measures were proportion of PALs placed under US guidance, trainer availability, and trainee sign-off. Line complications were balancing measures. Statistical process control charts were used to monitor metrics. RESULTS: Sustained improvement was seen with the USg approach. The USg approach had first and overall attempt success by the trainers (i.e., independent users) of 83.7% (77/92) and 96.5% (111/115), compared to 50.3% (82/163) and 73.8% (138/187) with the traditional approach. CONCLUSION: Introducing the USg approach had a significant impact on PAL placement success in neonatal patients.

引用

页码：1527 / 1533

页数：7