• Title/Summary/Keyword: 정맥주입

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Factor Affecting on Recognition and Performance of Peripheral Intravenous Infusion Management among Pediatric Nurses (아동간호사의 말초정맥주입 관리에 대한 인지 및 수행 관련 영향요인)

  • Kim, Jeong-Hwa;Jung, In-Sook
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.104-114
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    • 2019
  • This study was to find factors affecting on recognition and performance of peripheral intravenous infusion management among pediatric nurses. In analysis using SPSS/Win 24.0, the average scores of recognition and performance were 3.34±0.39, 3.42±0.37 out of 4 each. 'Maintenance and exchange' and 'education' were the lowest each among subdomains. There're significant differences in recognition and performance according to working departments et. al.(p=.039, p<.001), and there's a positive correlation between recognition and performance(r=.591, p<.001). Factors affecting on recognition were performance(β=.57) and working department(β=.22), and on performance were recognition(β=.57) and educated experience(β=.19). And explanation rate were 41.2%, 41.4% each in stepwise multiple regression. In conclusion, recognition and performance were mutually influencing factors. Therefore, it is needed to increase performance by preparing measures to improve recognition of peripheral intravenous infusion management.

A Convergence Study on Importance Awareness of Peripheral Intravenous Infusion among Children's Hospital Nurses (아동병원간호사의 말초정맥주입 중요성 인식에 관한 융합적 연구)

  • Kim, Jeong-Hwa;Jung, In-Sook
    • Journal of Convergence for Information Technology
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    • v.9 no.9
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    • pp.58-66
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    • 2019
  • The purpose of this descriptive research was to investigate importance awareness on peripheral intravenous infusion, and to identify the factors influencing on importance awareness among 128 children's hospital nurses. The collected data were analyzed with descriptive statistics, T-test, ANOVA, Pearson's correlation analysis and Hierarchical multiple regression using SPSS 21.0. Importance awareness on peripheral intravenous infusion of children's hospital nurses was the lowest in education, and the highest in hand hygiene. There were significant differences in subdomains of peripheral intravenous infusion according to marriage state, working department, position and final education(p<.001~.046), and there were positive correlations between education and importance awareness of peripheral intravenous infusion(p<.001). And factors affecting importance awareness were education(${\beta}=.446$) and working department(${\beta}=.247$), and explannation rate was 31.0%(p<.001). These results could be used as basic data of educational program on peripheral intravenous infusion for children's hospital nurses after repeated study.

Analysis Perceptions of Intravenous Injection Behavior of Contrast Medium in Radiological Technologists' Task (방사선사 직무에서 조영제 정맥 주입 행위에 대한 인식도 분석)

  • Jung-Ho Kang;Youl-Hun Seoung
    • Journal of the Korean Society of Radiology
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    • v.18 no.1
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    • pp.53-63
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    • 2024
  • The purpose of this study was to analyze radiological technologists' (RT) task perceptions of intravenous injection behavior of contrast medium and use it as basic data for future workforce response plans. We surveyed a total of 172 RT using questionnaire terms consisting of demographic characteristics, job priorities, and RT' task perceptions of intravenous injection behavior. Statistical analysis was performed using descriptive statistics, frequency analysis, independent samples T-test, and ANOVA analysis. As a result, first, current clinical RT were highly aware of the need for intravenous injection behavior as a response to the future workforce of them, and the workload burden resulting from this was evaluated as low. Second, the fear of intravenous injection behavior was found to be significant, so it is judged to be useful to perform them as selective job actions rather than all RT' task. Third, the need for training courses and certification for RT' intravenous injection behavior is being raised, and additional specific research on this is required. Last, RT' positive perception of intravenous injection behavior could be expected as a foundation for improving national medical services, strengthening RT expertise, and expanding tasks.

Adaptation of VR 360-degree Intravenous Infusion Educational Content for Nursing Students (간호대학생을 위한 가상현실(VR) 360도 정맥수액주입 교육용 콘텐츠의 적용)

  • Park, Jung-Ha
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.165-170
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    • 2020
  • In this study, after applying VR 360-degree video contents for intravenous infusion education, basic data on whether VR 360-degree video can be applied as educational content in the future is prepared by grasping the empathy and flow of nursing students in graduating grades. The VR 360 degree intravenous infusion educational content was developed in four-step process of planning, production, modification and completion. The design of this study was descriptive research, and the study period was from November 9 to November 22, 2019. The subjects of this study were 4th grade nursing students at a university, totaling 64 students. Nursing students watched VR 360 degree intravenous infusion educational content using HMD(head mounted display) under the safety management of the researcher. As a result of the study, the empathy of nursing students was 5.32±0.88 points and the flow was 6.02±0.84 points out of 7-point scale. The VR 360 degree intravenous infusion educational content developed in this study can be used as an educational medium in subjects and comparative departments, and it is necessary to specifically develop and verify teaching and learning methods in future studies.

혈관내 Alcohol 주입법에 의한 두경부 정맥 기형증의 치험 2례

  • Kim, Hyeong-Gon;Park, Gwang-Ho;Lee, Ui-Ung;Kim, Jun-Bae;Ju, Jae-Dong;Kim, Dong-Ik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.4
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    • pp.444-449
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    • 1991
  • 저자등은 5세 여아의 좌측 하순부에 발생한 정맥기형증 및 25세 여자 환자의 좌측 교근부에 발생한 정맥 기형증에 대하여 비와과적 방법인 직접알콜 주입에 의한 sclerosing therapy 치료한 결과, 별다른 후유증이나 재발의 소견없이 심미적, 기능적으로 양호한 결과를 얻었기에, 과거 sclerosing solution의 단점을 보완한 순수한 알콜제재의 사용을 문헌고찰과 함께 보고하는 바이다.

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Findings of an Intravenous Catheter Fragment in the Vein Using the 3D Image Reformations of MDCT (정맥내의 IV 카테터 조각의 3D MDCT 재구성 영상)

  • Kweon, Dae-Cheol;Yoo, Beong-Gyu;Yang, Sung-Hwan;Kim, Jeong-Goo
    • Progress in Medical Physics
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    • v.17 no.3
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    • pp.167-172
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    • 2006
  • Catheter fragment and embolism are both potentially serious complications associated with the use of an intravenous (IV) catheter for contrast media bolus injection, and may be followed by serious or lethal sequelae. Though catheter fragment is a rare complication of IV catheter insertion, especially in peripheral veins, CT can be used to detect residual fragment. This study demonstrates the utility of MDCT to localize a small, subtle peripheral venous catheter, which can be easily reformatted of MDCT reformations. Various 3D techniques such as MPR and MIP, volume rendering, and shaded-surface displays are currently available for reconstructing MDCT data. Advances in MDCT technology contribute substantially to the detection and accurate localization of smaller IV catheter fragment.

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Optimization of Protocol for Injection of Iodinated Contrast Medium in Pediatric Thoracic CT Examination (소아 흉부 CT검사에서 조영제 주입에 관한 프로토콜의 최적화)

  • Kim, Yung-Kyoon;Kim, Yon-Min
    • Journal of the Korean Society of Radiology
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    • v.13 no.6
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    • pp.879-887
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    • 2019
  • The purpose of this study is to establish a physiological injection protocol according to body weight, in order to minimize amount of contrast medium and optimize contrast enhancement in pediatric patients performing thoracic CT examinations. The 80 pediatric patients under the age of 10 were studied. Intravenous contrast material containing 300 mgI/ml was used. The group A injected with a capacity of 1.5 times its weight, and groups B, C and D added 5 to 15 ml of normal saline with a 10% decrease in each. The physiologic model which can be calculated by weight about amount of injection of contrast medium and normal saline, flow rate and delay time were applied. To assess image quality, measured average HU value and SNR of superior vena cava, pulmonary artery, ascending and descending aorta, right and left atrium, right and left ventricle. CT numbers of subclavian vein and superior vena cava were compared to identify the effects of reducing artifacts due to normal saline. Comparing SNR according to the contrast medium injection protocol, significant differences were found in superior vena cava and pulmonary artery, descending aorta, right and left ventricle, and CT numbers showed significant differences in all organs. In particular, B group with a 10% decrease in contrast medium and an additional injection of saline showed a low degree of contrast enhancement in groups with a decrease of more than 20%. In addition, the group injected with normal saline greatly reduced contrast enhancement of subclavian vein and superior vena cava, and the beam hardening artifact by contrast medium was significantly attenuated. In conclusion, the application of physiological protocol for injection of contrast medium in pediatric thoracic CT examinations was able to reduce artifacts by contrast medium, prevent unnecessary use of contrast medium and improve the effect of contrast enhancement.

Interventional Treatment of Chemical Pleuritis and Hemothorax Caused by Iatrogenic Internal Jugular Vein Perforation after Central Venous Port System Implantation: A Case Report (중심정맥포트 삽입 후 의인성 속목정맥 천공에 의한 화학적 늑막염과 혈흉의 중재적 치료: 증례 보고)

  • Do Woo Kim;Young Hwan Kim;Ung Rae Kang
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1459-1465
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    • 2020
  • The perforation of the intrathoracic internal jugular vein during the placement of an implantable central venous chemoport is a rare complication that is manifested by hemothorax or hemorrhagic shock. Furthermore, inappropriate instillation of a chemotherapeutic agent in the chemoport can cause chemical pleuritis, and the diagnosis of these complications prior to the instillation of chemotherapeutic agents and open thoracic surgery is mandatory. We report a patient with chemical pleuritis and hemothorax following an inappropriate instillation of a chemotherapeutic agent, through the perforated right internal jugular vein after placement of an implantable central venous chemoport. Treatment by embolization using coils and N-butyl cyanoacrylate, after percutaneous drainage, was successful.

Treatment of Deep Venous Thromboses of Lower Leg with Thrombolysis (혈전용해술을 이용한 하지 심부정맥 혈전증의 치료)

  • 이재원
    • Journal of Chest Surgery
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    • v.34 no.9
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    • pp.711-715
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    • 2001
  • Background: Deep venous thrombosis(DVT) is a curable disease when it is appropriately treated in the early stages of onset. The long term follow up of chronic DVT shows poor prognosis with serious complications such as venous valvular insufficiency, venous claudication, venous ulcer and leg swelling. Thrombolytic therapy is a very active treatment that delivers thrombolytic agents via catheter to the target thrombi. The aim of this study is to evaluate the effect of catheter directed thrombolysis using urokinase to acute DVT. Material and Method: We studied 5 patients, who were diagnosed as acute DVT and had no contraindication for selective hemolysis using urokinase. Result: All the patients were successfully recanalized. Total infusion time of urokinase was 2.0$\pm$0.6 days, and the amount was 5.9$\pm$2.45 million IU. In 4 patients, who were diagnosed as May-Therner syndrome, we performed the balloon angioplasty and inserted the stent at the stenotic portion. There were minor complications such as hematuria, hematoma at puncture site, and all of them are self limited. Conclusion: Catheter induced thrombolysis is an effective treatment in acute DVT.

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