Abstract：
OBJECTIVE: The aim of the present study is to determine the effect of the pushing technique with saline on the success of peripheral IV catheter placement in a paediatric haematology and oncology sample.
METHODS: The randomized controlled trial was conducted among 60 paediatric haematology and oncology patients aged between 0 and 17. The participants were randomly assigned to two peripheral intravenous catheter placement groups (intervention group, n:30, control group, n:30). Each patient was evaluated with the Difficult Intravenous Access (DIVA) score before being included in the study. Each patient was assessed using the Personal Information Form for Children and Catheter Registration Form.
RESULTS: The average age of the children was 86.4 months (SD = 60.0); 36.7% were female. The pushing technique with saline significantly increased the success of placing a peripheral IV catheter on the first attempt in the intervention group compared to the control group (F = 42.391, p = 0.000). The number of attempts during peripheral IV catheter placement significantly decreased in the intervention group compared with the control group (t = -5.676, p = 0.000). Complications were less in the intervention group compared with the control group (χ2 = 24.438, p = 0.000). The procedure time was significantly shorter in the intervention group compared with the control group (t = -4.026, p = 0.000).
CONCLUSIONS: The pushing technique with saline is an effective method to increase the first attempt success rate, decrease the number of attempts, reduce the procedure time, and reduce the complications during peripheral intravenous catheter placement procedures in paediatric haematology and oncology patients with difficult intravenous access.
BACKGROUND: This study was registered at ClinicalTrials.gov (NCT05685290 & date of first recruitment: January 3, 2023) https://clinicaltrials.gov/ct2/show/NCT05685290.
METHODS: The randomized controlled trial was conducted among 60 paediatric haematology and oncology patients aged between 0 and 17. The participants were randomly assigned to two peripheral intravenous catheter placement groups (intervention group, n:30, control group, n:30). Each patient was evaluated with the Difficult Intravenous Access (DIVA) score before being included in the study. Each patient was assessed using the Personal Information Form for Children and Catheter Registration Form.
RESULTS: The average age of the children was 86.4 months (SD = 60.0); 36.7% were female. The pushing technique with saline significantly increased the success of placing a peripheral IV catheter on the first attempt in the intervention group compared to the control group (F = 42.391, p = 0.000). The number of attempts during peripheral IV catheter placement significantly decreased in the intervention group compared with the control group (t = -5.676, p = 0.000). Complications were less in the intervention group compared with the control group (χ2 = 24.438, p = 0.000). The procedure time was significantly shorter in the intervention group compared with the control group (t = -4.026, p = 0.000).
CONCLUSIONS: The pushing technique with saline is an effective method to increase the first attempt success rate, decrease the number of attempts, reduce the procedure time, and reduce the complications during peripheral intravenous catheter placement procedures in paediatric haematology and oncology patients with difficult intravenous access.
BACKGROUND: This study was registered at ClinicalTrials.gov (NCT05685290 & date of first recruitment: January 3, 2023) https://clinicaltrials.gov/ct2/show/NCT05685290.
摘要：
目的：本研究的目的是确定生理盐水推动技术对儿科血液学和肿瘤学样本中外周静脉导管置入成功的影响。
方法：在60名年龄在0至17岁之间的儿科血液科和肿瘤科患者中进行了随机对照试验。参与者被随机分配到两个外周静脉导管放置组(干预组,n:30,对照组,n:30).在纳入研究之前，对每位患者进行了静脉穿刺困难（DIVA）评分评估。使用儿童个人信息表和导管登记表评估每位患者。
结果：儿童的平均年龄为86.4个月（SD=60.0）；女性占36.7％。与对照组相比，用盐水推动技术显着增加了在干预组中首次尝试放置外周静脉导管的成功率（F=42.391，p=0.000）。与对照组相比，干预组的外周静脉导管置入尝试次数显着减少（t=-5.676，p=0.000）。干预组并发症较对照组少(χ2=24.438,p=0.000)。干预组手术时间明显短于对照组(t=-4.026,p=0.000)。
结论：用盐水推动技术是提高首次尝试成功率的有效方法，减少尝试次数，减少手术时间，并减少难以通过静脉途径的儿科血液科和肿瘤科患者在外周静脉导管放置过程中的并发症。
背景：本研究在ClinicalTrials.gov注册（NCT05685290&首次招募日期：2023年1月3日）https://clinicaltrials.gov/ct2/show/NCT05685290。
方法：在60名年龄在0至17岁之间的儿科血液科和肿瘤科患者中进行了随机对照试验。参与者被随机分配到两个外周静脉导管放置组(干预组,n:30,对照组,n:30).在纳入研究之前，对每位患者进行了静脉穿刺困难（DIVA）评分评估。使用儿童个人信息表和导管登记表评估每位患者。
结果：儿童的平均年龄为86.4个月（SD=60.0）；女性占36.7％。与对照组相比，用盐水推动技术显着增加了在干预组中首次尝试放置外周静脉导管的成功率（F=42.391，p=0.000）。与对照组相比，干预组的外周静脉导管置入尝试次数显着减少（t=-5.676，p=0.000）。干预组并发症较对照组少(χ2=24.438,p=0.000)。干预组手术时间明显短于对照组(t=-4.026,p=0.000)。
结论：用盐水推动技术是提高首次尝试成功率的有效方法，减少尝试次数，减少手术时间，并减少难以通过静脉途径的儿科血液科和肿瘤科患者在外周静脉导管放置过程中的并发症。
背景：本研究在ClinicalTrials.gov注册（NCT05685290&首次招募日期：2023年1月3日）https://clinicaltrials.gov/ct2/show/NCT05685290。
