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KONSEP TIM AKSES
AKSES INTRA VENA
VASKULAR
PADA
NEONATUS Aris Primadi
1 2
3 4
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7 8
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11 12
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Factors
influencing
vascular
access device
choice in
newborns
British Journal of Nursing,
2016, Vol 25, No 3
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Factors Factors
influencing influencing
vascular vascular
access device access device
choice
Factorsin choice in
newborns
influencing newborns
vascular access
device choice
in newborns
British Journal of Nursing, British Journal of Nursing,
2016, Vol 25, No 3 2016, Vol 25, No 3
15 16
5/28/21
Factors
influencing
vascular
access device
Factors choice in
influencing newborns
vascular access
device choice
in newborns
British Journal of Nursing,
2016, Vol 25, No 3
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19 20
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Effect of a vascular access team on central line-associated bloodstream infections Effect of a vascular access team on central line-associated bloodstream infections
in infants admitted to a neonatal intensive care unit: A systematic review in infants admitted to a neonatal intensive care unit: A systematic review
Monique M. Legemaat, Irene P. Jongerden, Roland M.F.P.T. van Rens, Marjanne Zielman, Agnes van den Hoogen Monique M. Legemaat, Irene P. Jongerden, Roland M.F.P.T. van Rens, Marjanne Zielman, Agnes van den Hoogen
ABSTRACT ABSTRACT
Objective: To review the effect of a vascular access team on the incidence of central line- associated bloodstream infections in infants admitted Objective: To review the effect of a vascular access team on the incidence of central line- associated bloodstream infections in infants admitted
to a neonatal intensive care unit. Kesimpulan:
to Tim
a neonatal intensive care unit. akses vaskular adalah intervensi yang menjanjikan untuk
Data sources MEDLINE, CINAHL, Embase, Web-of-Science and the Cochrane Library were searched until December 2013. Data sources MEDLINE,
mengurangi CINAHL, Embase, Web-of-Science and the Cochrane Library were searched until December 2013.
infeksi aliran darah terkait jalur sentral pada bayi yang dirawat di unit
Study Selection Studies that evaluated the implementation of a vascular access team, and focused on the incidence of central line-associated Study Selection Studies that evaluated the implementation of a vascular access team, and focused on the incidence of central line-associated
bloodstream infections in infants admitted to a neonatal intensive care unit, were selected. perawatan
bloodstream intensif
infections neonatal.
in infants admitted Namun
to a neonatal intensive demikian, bukti efektifitasnya rendah.
care unit, were selected.
Data Extraction Incidence rates of central line-associated bloodstream infections were extracted, as well as information on vascular access Data Extraction Incidence rates of central line-associated bloodstream infections were extracted, as well as information on vascular access
team tasks and team composition. The quality of studies was critically appraised using the McMaster tool for quantitative studies. Masih diperlukan penelitian untuk meningkatkan
team tasks and team composition. The quality of studies was critically appraised using thebukti manfat
McMaster tim akses
tool for quantitative studies.vaskular
Data Synthesis Seven studies involving 136 to 414 participants were included. In general, the implementation of a vascular access team Data Synthesis Seven studies involving 136 to 414 participants were included. In general, the implementation of a vascular access team
coincided with the implementation of concurrent interventions. All vascular access teams included nurses, and occasionally included physicians. coincided with the implementation of concurrent interventions. All vascular access teams included nurses, and occasionally included physicians.
Main tasks included insertion and maintenance of central lines. In all studies, a relative decrease of 45–79% in central line-associated Main tasks included insertion and maintenance of central lines. In all studies, a relative decrease of 45–79% in central line-associated
bloodstream infections was reported. bloodstream infections was reported.
Conclusions: A vascular access team is a promising intervention to decrease central line- associated bloodstream infections in infants Conclusions: A vascular access team is a promising intervention to decrease central line- associated bloodstream infections in infants
admitted to a neonatal intensive care unit. However, level of evidence for effectiveness is low. Future research is required to improve the strength admitted to a neonatal intensive care unit. However, level of evidence for effectiveness is low. Future research is required to improve the strength
of evidence for vascular access teams. of evidence for vascular access teams.
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• Pilihan jalur dan perangkat akses
vaskular pada bayi sakit sangat luas
• Setiap perangkat memiliki kelebihan dan
alasan klinis tertentu untuk digunakan
berdasarkan tujuan, tempat dan durasi
terapi yang direncanakan
SIMPULAN
• Akses vaskular tepat - pasien tepat -
waktu tepat
• TIM Akses Vaskular
Komunikasi _ Manajemen _ Kepemimpinan
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