期刊
JOURNAL OF INTENSIVE CARE MEDICINE
卷 36, 期 6, 页码 719-725出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0885066621989920
关键词
coronavirus; COVID-19; infusion pumps; relocation; personal protective equipment (PPE)
The study aimed to quantify the impact of relocating IV pumps for COVID-19 patients from bedside to outside the patient room on nurse exposure to COVID-19 and conservation of PPE. Results show a significant reduction in nurse entries into patient rooms following the relocation, suggesting a decrease in PPE utilization. Further prospective, randomized controlled trials are needed to investigate the full impact of this strategy.
Objectives: To quantify the impact of IV pump relocation for COVID-19 patients from the bedside to outside the patient room on nurse exposure to COVID-19 and conservation of PPE. Design: Original Article Setting: Intensive care units at a single-center teaching hospital. Patients: Critically ill COVID-19 patients under contact and special droplet precautions. Interventions: Relocation of intravenous pumps for COVID-19 patients from bedside to outside the patient room using extension tubing. Measurements and Main Results: The primary objective of the study was to measure the impact of this strategy on COVID-19 exposure, utilizing the number of nurse entries into the patient room as a surrogate endpoint, and extrapolation of this data to determine the reduction or PPE usage. Secondary endpoints included incidence of extravasation, hyperglycemia, hypotension, and diagnosis of CLABSI/bacteremia. A statistically significant reduction in the primary endpoint of the study was observed as room entries prior to pump relocation averaged 15.36 (+/- 4.10) as opposed to an average of 7.92 (+/- 2.19) following pump relocation (p < 0.0001). In both pre- and post-pump relocation groups, there was no incidence of extravasation or CLABSI. No significant differences were noted in number of patients experiencing hyperglycemia, hypotensive episodes, or bacteremia. Conclusions: There was a significant decrease in COVID-19 exposure based on the number of nurse entries following the relocation of intravenous pumps from inside to outside of the patient room. These results may be cautiously extrapolated to suggest a decrease in personal protective equipment utilization. Future prospective, randomized controlled trials investigating the impact of this strategy are required.
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