RESULTS OF CARE FOR PATIENTS WITH ARTERIAL CATHETER PLACEMENT IN INTENSIVE CARE UNIT OF AGRICULTURAL GENERAL HOSPITAL IN 2025

Thị Hồng Hồ, Duy Tường Phạm, Thị Phương Hà Trần, Phúc Phóng Nguyễn

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Abstract

Objective: Description of results of care for patients with arterial catheter placement at the Intensive Care Unit of Agricultural General Hospital in 2025. Method: Prospective descriptive study on 110 patients with arterial catheters placed at the Intensive Care Unit of Agricultural General Hospital. Data were collected using a self-administered questionnaire developed based on the study of arterial catheter care procedures by the Ministry of Health and analyzed using SPSS 20.0 software. Results: About the characteristics of catheter placement procedure: The majority of patients had catheter placed in the radial artery, accounting for 95.5%, and the rest were in the brachial artery. Retention time less than 3 days accounts for 51.8%, from 4-5 days accounts for 20.0%, over 5 days accounts for 28.2%. Needle obstruction complications occurred in 22 patients (25.2%), and hematoma complications occurred in 1 patient (1.1%). Conclusion: The rate of needle occlusion complications is 25.2%. Therefore, nurses who care for catheters need to be trained, guided in practice and regularly evaluated to ensure the highest safety and effectiveness in caring for patients with catheters.

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References

1. Bộ Y tế Việt Nam. (2019). Hướng dẫn chăm sóc bệnh nhân có catheter động mạch. Hà Nội, Việt Nam.
2. Scheer B, Perel A, Pfeiffer UJ. Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care 2002;6:199-204. doi: 10.1186/ cc1489.
3. O’Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control 2011;39:S1-34.
4. Stathopoulos C, et al. Risk Factors for Acute Choroidal Ischemia after Intra-arterial Melphalan for Retinoblastoma: The Role of the Catheterization Approach. Ophthalmology. 2021 May 1;128(5):754–64.
5. Dương Thị Ngọc Mai và Khang Thị Diên (2022) “Thực trạng chăm sóc, theo dõi ống thông động mạch của điều dưỡng tại khoa hồi sức tích cực 2 - Bệnh viện Hữu nghị Việt Đức năm 2021”, Tạp chí Khoa học Điều dưỡng, 5(03), tr 72–79. doi: 10.54436/jns.2022.03.402.
6. Cougo-Pinto PT, Chandra RV, Simonsen CZ, et al. Intra-Arterial Therapy for Acute Ischemic Stroke: a Golden Age. Curr Treat Options Neurol. 2015 May 19;17(7):30.
7. Gupta, S. et al (2023), “Catheter complications and ICU management”, International Journal of Nursing Studies.