Tokumine Joho, Higa Tatsuya, Nitta Kenichi, Teruya Koji, Fuchigami Tatsuya, Sugahara Kazuhiro
Department of Anesthesia, Northern Okinawa Medical Center, Nago 905-8611.
Masui. 2009 Apr;58(4):488-92.
Ultrasound-guided arterial catheterization has been attempted, and its effectiveness demonstrated. We encountered 3 cases in which arterial catheterization (A-line) was difficult for the following reasons: the arterial lumen was narrow due to arteriosclerosis; the pulse of the radial artery was weak because of swelling in the arm and heart failure; and the deep artery was too hard for the needle to penetrate it. Using ultrasound guidance, arterial catheterization could be smoothly performed in all cases. Thus, ultrasound-guided arterial catheterization is effective for cases in which arterial catheterization using the usual palpation technique is difficult.
已尝试超声引导下动脉插管,并证明了其有效性。我们遇到3例动脉插管(A线)困难的情况,原因如下:由于动脉硬化,动脉腔狭窄;由于手臂肿胀和心力衰竭,桡动脉搏动微弱;深部动脉过硬,针难以刺入。使用超声引导,所有病例均能顺利进行动脉插管。因此,超声引导下动脉插管对于使用常规触诊技术进行动脉插管困难的病例是有效的。