Goren A, Laufer J, Yativ N, Kuint J, Ben Ackon M, Rubinshtein M, Paret G, Augarten A
Pediatric Center, Maccabi Health Services, Ramat Hasharon, Israel.
Pediatr Emerg Care. 2001 Apr;17(2):130-1. doi: 10.1097/00006565-200104000-00013.
To assess the efficacy of transillumination of the palm of the hand in establishing venous access in small infants.
One hundred infants aged 2 to 36 months were considered for venipuncture under transillumination following failure to find an accessible vein or a failed venipuncture attempt.
In 40 of the 100 infants, a vein was visible with transillumination. In 22 of these children, previous attempts to achieve a venous line failed (mean number of failed venipunctures 2.11 +/- 0.6) and in 18 infants, no vein could be identified. Using transillumination, venous access was established with just one venipuncture in 39 of the 40 patients.
Transillumination of the palm can aid in establishing venous access in infants. This can be easily carried out using a common otoscope.
评估手部透照法在小婴儿建立静脉通路中的有效性。
100名年龄在2至36个月的婴儿,在未能找到可穿刺静脉或静脉穿刺尝试失败后,考虑在透照法下进行静脉穿刺。
100名婴儿中有40名通过透照法可见静脉。在这些儿童中,有22名先前建立静脉通路的尝试失败(静脉穿刺失败的平均次数为2.11±0.6),18名婴儿未发现静脉。使用透照法,40例患者中有39例仅通过一次静脉穿刺就成功建立了静脉通路。
手部透照法有助于婴儿建立静脉通路。使用普通耳镜即可轻松完成。