응급실 소아환자의 정맥로 확보: 누가 그리고 어디에?
Establishment of peripheral intravenous catheter for pediatric patients in the emergency department: who and how?
이륜경, 김동훈, 김태훈, 강창우, 이수훈, 정진희, 이동윤, 김민정, 김성춘,
소속 상세정보
이륜경 ( Lee Ryun-Kyung )
경상대학교 의과대학 응급의학교실
김동훈 ( Kim Dong-Hoon )
경상대학교 의과대학 응급의학교실
김태훈 ( Kim Tae-Hoon )
경상대학교 의과대학 응급의학교실
강창우 ( Kang Chang-Woo )
경상대학교 의과대학 응급의학교실
이수훈 ( Lee Soo-Hoon )
경상대학교 의과대학 응급의학교실
정진희 ( Jeong Jin-Hee )
경상대학교 의과대학 응급의학교실
이동윤 ( Rhee Dong-Yoon )
창원경상대학교병원 응급의학과
김민정 ( Kim Min-Jeong )
창원경상대학교병원 응급의학과
김성춘 ( Kim Seong-Chun )
경상대학교병원 응급의학과
Abstract
Purpose: Peripheral intravenous cannulation (PIC) for children is technically difficult. We aimed to investigate factors associated with the primary success of PIC for children in the emergency department (ED).
Methods: This prospective observational study was conducted on children younger than 3 years who visited the ED from September 2014 to August 2015. The children undergoing primary success, defined as success at the first attempt, comprised the success group. Using a case report form, information about the children (age, sex, and weight), practitioners’ occupation (doctors, nurses, emergency medical technicians [EMTs]), treatment venue, insertion site of PIC, presence of guardians, and use of auxiliary devices were collected and compared between the success and failure groups. Multivariable logistic regression models were constructed to identify factors associated with the primary success.
Results: Of 439 children, 271 underwent the primary success (61.7%). The success group showed older age, heavier weight, and higher proportion of EMT. No differences were found in treatment venue, insertion site, and presence of the guardian. We found that patients’ age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.003-1.1), and practitioners’ occupation (EMT; OR, 3.0; 95% CI, 1.9-4.7, compared with doctors) were the factors associated with the primary success.
Conclusion: Practitioners’ occupation (EMT) and children’s age (older) may be associated with the primary success of PIC. It may be helpful to have specialized personnel when performing PIC on children in the ED.
키워드
Catheterization; Peripheral; Catheters; Emergency Service; Hospital; Occupations; Pediatrics; Veins
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