Attof R, Rhondali O, Combet S, Chassard D, De Queiroz M
Département anesthésie-réanimation pédiatrique, hôpital Femme-Mère-Enfant, 59 boulevard Pinel, Bron cedex, France.
Ann Fr Anesth Reanim. 2010 Sep;29(9):651-4. doi: 10.1016/j.annfar.2010.05.036. Epub 2010 Aug 14.
The subclavian vein (SCV) is often the preferred site for long-term central venous catheterization in children. It has many advantages over the internal jugular vein. But with the classical landmark technique for SCV catheterization the ultrasound-guidance technique is usually not suitable, because of the clavicle (a bright hyperechoic structure with an acoustic shadow beneath it). Because the SCV can easily be visualized via a supraclavicular approach, we developed a useful ultrasound-guided approach for SCV catheterization in infants and children.
锁骨下静脉(SCV)通常是儿童长期中心静脉置管的首选部位。与颈内静脉相比,它有许多优势。但对于经典的锁骨下静脉置管体表定位技术,超声引导技术通常并不适用,因为存在锁骨(一个明亮的高回声结构,其下方伴有声影)。由于通过锁骨上入路可轻松观察到锁骨下静脉,我们开发了一种适用于婴幼儿及儿童的实用的超声引导锁骨下静脉置管方法。