{"id":151968,"date":"2018-01-26T08:11:23","date_gmt":"2018-01-26T16:11:23","guid":{"rendered":"https:\/\/clarius.com\/blog\/bye-bye-blindnadelstaebchen\/"},"modified":"2018-01-26T08:11:23","modified_gmt":"2018-01-26T16:11:23","slug":"bye-bye-blindnadelstaebchen","status":"publish","type":"post","link":"https:\/\/clarius.com\/de\/blog\/bye-bye-blindnadelstaebchen\/","title":{"rendered":"Bye-Bye Blindnadelst\u00e4bchen"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Einer der am h\u00e4ufigsten durchgef\u00fchrten Eingriffe in Akutkrankenh\u00e4usern ist das Legen eines peripheren intraven\u00f6sen (PIV) Katheters. Tats\u00e4chlich werden jedes Jahr fast 200 Millionen PIV-Katheter bei Patienten in Krankenh\u00e4usern in den Vereinigten Staaten gelegt. <\/span><span style=\"font-weight: 400;\"> <\/span><\/p>\n<p>Aber obwohl sie weit verbreitet ist, ist sie nicht sehr erfolgreich. Sie ist mit einer Vielzahl von Komplikationen und einer inakzeptabel hohen Gesamtausfallrate von <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25871866\" target=\"_blank\" rel=\"noopener noreferrer\">bis zu 50%<\/a> verbunden. <span style=\"font-weight: 400;\">Das bedeutet \u00fcber 100 Millionen erfolglose Nadelstiche. <\/span>  <\/p>\n<p><span style=\"font-weight: 400;\">Beim Baseball m\u00f6gen diese Chancen gro\u00df sein. Aber nicht so sehr in einem Krankenhaus.   <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Wenn jedoch Ultraschall zur Steuerung des Verfahrens verwendet wird, steigt die Genauigkeit auf etwa 80 bis 95 %. Mit Hilfe von Ultraschall kann der Arzt das Blutgef\u00e4\u00df gleich beim ersten Versuch lokalisieren, ohne auf invasivere Katheter wie zentrale Leitungen zur\u00fcckgreifen zu m\u00fcssen. Dies kann einen gro\u00dfen Unterschied ausmachen, insbesondere bei Patienten, die mehrere Behandlungen ben\u00f6tigen.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Die Ultraschalltechnologie, die bei diesem Verfahren zum Einsatz kommt, ist besonders f\u00fcr p\u00e4diatrische Patienten und ihre Eltern von Vorteil, die oft Zeuge mehrerer verpasster Injektionen sind.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Warum wird Ultraschall also nicht f\u00fcr alle <\/span><i><span style=\"font-weight: 400;\">alle<\/span><\/i><span style=\"font-weight: 400;\"> PIVs? <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Denn obwohl Ultraschallger\u00e4te f\u00fcr den peripheren Gef\u00e4\u00dfzugang hilfreich sein k\u00f6nnen, sind sie nicht immer verf\u00fcgbar.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Eine Organisation, die Schritte unternommen hat, um dies zu \u00e4ndern, ist das St. Joseph&#8217;s Healthcare System, das 2016 ein Programm f\u00fcr vaskul\u00e4ren Zugang eingef\u00fchrt hat.  <\/span>Das erste sterile, ultraschallgesteuerte Programm erh\u00f6hte die Genauigkeit und die Einfachheit der Nadelstiche und verbesserte die Erfahrungen von Patienten und \u00c4rzten bei Verfahren wie Blutabnahmen und peripheren Infusionen, arteriellen Leitungen und PICC-Leitungen erheblich. Es war das erste Krankenhaus im Land, in dem ein Team f\u00fcr Gef\u00e4\u00dfzug\u00e4nge sterile, ultraschallgesteuerte periphere Infusionen legte, und die Ergebnisse waren bemerkenswert. <\/p>\n<p><span style=\"font-weight: 400;\">Mit dem Ziel der &#8222;Gef\u00e4\u00dferhaltung&#8220; kletterte die Erfolgsquote beim ersten Versuch auf \u00fcber 98%. Durch das Programm wurden bereits im ersten Jahr 1.304 PICC-\/Zentralkan\u00e4le \u00fcberfl\u00fcssig.   <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Da Ultraschall zunehmend mobiler wird, werden wahrscheinlich auch andere Krankenh\u00e4user und Pflegeeinrichtungen dieser Richtung folgen. Ein verbesserter Zugang zum Ultraschall bedeutet, dass \u00c4rzte nicht mehr auf ein Ultraschallger\u00e4t warten m\u00fcssen und auch nicht mehr gezwungen sind, den Eingriff einfach blind durchzuf\u00fchren.   <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unabh\u00e4ngig davon k\u00f6nnen die Ergebnisse nicht ignoriert werden. Bessere Genauigkeit, schnellerer Patientendurchsatz, bessere Patientenpflege und mehr Komfort und vor allem: keine mehrfachen Nadelstiche! <\/span><\/p>\n<p><span style=\"font-weight: 400;\"><img decoding=\"async\" class=\"alignnone wp-image-20174 lazyload\" data-src=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2018\/01\/peripheral-intravenous-catheter-1024x640-1-300x188.jpg.webp\" alt=\"\" width=\"838\" height=\"525\" data-srcset=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2018\/01\/peripheral-intravenous-catheter-1024x640-1-300x188.jpg.webp 300w, https:\/\/clarius.com\/wp-content\/smush-webp\/2018\/01\/peripheral-intravenous-catheter-1024x640-1-600x375.jpg.webp 600w, https:\/\/clarius.com\/wp-content\/smush-webp\/2018\/01\/peripheral-intravenous-catheter-1024x640-1.jpg.webp 1024w\" data-sizes=\"(max-width: 838px) 100vw, 838px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 838px; --smush-placeholder-aspect-ratio: 838\/525;\" \/><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Einer der am h\u00e4ufigsten durchgef\u00fchrten Eingriffe in Akutkrankenh\u00e4usern ist das Legen eines peripheren intraven\u00f6sen (PIV) Katheters. Tats\u00e4chlich werden jedes Jahr fast 200 Millionen PIV-Katheter bei Patienten in Krankenh\u00e4usern in den Vereinigten Staaten gelegt. Aber obwohl sie weit verbreitet ist, ist sie nicht sehr erfolgreich. Sie ist mit einer Vielzahl von Komplikationen und einer inakzeptabel hohen&#8230;<\/p>\n","protected":false},"author":3,"featured_media":30704,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[921,991],"tags":[],"specialities":[],"class_list":["post-151968","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bildung","category-einblicke"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.6 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Bye Bye Blindnadelst\u00e4bchen<\/title>\n<meta name=\"description\" content=\"Mit Hilfe von Ultraschall k\u00f6nnen \u00c4rzte das Blutgef\u00e4\u00df beim ersten Versuch lokalisieren, ohne auf invasivere Katheter wie zentrale Leitungen zur\u00fcckgreifen zu m\u00fcssen.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clarius.com\/de\/blog\/bye-bye-blindnadelstaebchen\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bye-Bye Blindnadelst\u00e4bchen\" \/>\n<meta property=\"og:description\" content=\"Wireless handheld ultrasound with clear, high-quality images on your phone or tablet. 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