Nipro Training钝针介绍说明幻灯片.ppt

The National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI ?) Within cannulation areas. This type of aneurysm is caused mainly by the so-called “1-site-itis” cannulation and should lead to abandonment of the area for cannulation and strict enforcement of the “rope-ladder” cannulation method if a buttonhole does not seem practical. The latter is by far the best available method for prevention. NKF-K/DOQI.Clinical practice guidelines for vascular access:update July 2006. Am J Kidney Dis 2006; 48: S187–S277 尼普洛钝针 --BioholeTM needle Nipro Biohole Needle 钝却润滑的穿刺尖端 圆但精锐的穿刺切缘 Nipro Biohole Needle优越品质，确保扣眼穿刺时 减轻穿刺疼痛感 提升穿刺成功率 降低渗血可能性 尼普洛钝针 --BioholeTM needle 血管 皮肤表面 Biohole 尼普洛扣眼固定器 -- BioholeTM Plug 尼普洛穿刺止血贴 --PushBan 加压止血 吸收液体 膨胀 感谢您的聆听! 尼普洛贸易（上海）有限公司 柴倩莹 * The advantage of the blunt needle is that it tends to pass through the established track without cutting adjacent tissue. Blunt needles may be too blunt for some tracks, so sharp needles should continue to be used until new needles with intermediate bluntness are available or blunt needles can be used after longer break-in period. -NEPHROL. DIAL. POL. 2006, 10, 156-158 * 怎样 * 非扣眼法穿刺组和扣眼法穿刺组引起的疼痛程度进行比 较，其中非扣眼法穿刺组引起剧痛0例次，中度及重度痛的 123(61．5％)例次，轻度痛77(38．5％)例次，无痛0例次；扣眼 法穿刺组引起剧痛0例次，中度及重度痛lO(5％)例次，轻度痛 145(72．5％)例次，无痛45(22．5％)例次 * * Here are the differences in the sharp and blunt needles. Notice they both have backeyes, and we need to be sure everyone uses backeye needles for the arterial needle placement. * * * 怎样 * * * * 协助您成功实施 扣眼穿刺 扣眼穿刺技术介绍 内容 扣眼穿刺技术发展史 扣眼穿刺的优势 扣眼穿刺技术关键点 综合评价 扣眼穿刺技术介绍 扣眼穿刺技术发展历史 欧洲和日本已经开展了近30年 曾经被称为”定点”穿刺法 受到越来越多的关注 扣眼穿刺技术介绍 什么是扣眼穿刺? 每次穿刺选择同一进针点,同样 的角度,同样的深度, 形成固定穿刺通道. 固定通道形成后可以使用钝针穿刺. 绳梯法 Rope Ladder 区域法 area puncture 扣眼法 Buttonhole Technique 超声影像下的通道 Photo courtesy of Tony Goovaerts 绳梯穿刺技术 穿刺进针点呈绳梯状更换 不同穿刺通道,不同进针角度 避开血痂 用于自体动静脉瘘和移植血管 * Photo courtesy of Medisystems Corporation 锐针和钝针的区别 两种穿刺方法比较 区域穿刺 8个月的动静脉内瘘 女性，45岁，病历1442