Kumar Ajay, Chuan Alwin
Sydney Adventist Hospital, Sydney, Australia.
Best Pract Res Clin Anaesthesiol. 2009 Sep;23(3):299-311. doi: 10.1016/j.bpa.2009.02.006.
Central venous catheterisation and arterial catheterisation are common procedures performed by anaesthetists. Traditionally, the technique of locating surface landmarks and palpation was used to assist in vascular access. The introduction of perioperative ultrasonography in the past decade has dramatically changed this procedure. In the United States and United Kingdom, guidelines have recommended the use of ultrasound guidance to reduce complications and improve success in central venous catheterisation. This article summarises the literature on complication rates, efficacy and safety of ultrasound-guided vascular access procedures and describes a practical method of ultrasound-guided central venous access and arterial catheterisation.
中心静脉置管和动脉置管是麻醉医生实施的常见操作。传统上，通过定位体表标志和触诊技术来辅助血管穿刺。过去十年中围手术期超声检查的引入极大地改变了这一操作。在美国和英国，指南已推荐使用超声引导以减少并发症并提高中心静脉置管的成功率。本文总结了关于超声引导下血管穿刺操作的并发症发生率、有效性和安全性的文献，并描述了一种超声引导下中心静脉穿刺和动脉置管的实用方法。
