成人超声引导下锁骨上中心静脉置管：技术报告
Ultrasound guided supraclavicular central vein cannulation in adults: a technical report.
作者信息
Bertini Pietro, Frediani Massimo
机构信息
School of Anesthesia and Intensive Care Medicine, University of Pisa, Pisa, Italy.
出版信息
J Vasc Access. 2013 Jan-Mar;14(1):89-93. doi: 10.5301/jva.5000088. Epub 2012 Jul 23.
PURPOSE
Ultrasound-guided (USG) central vein cannulation has become very popular among anesthesiologists and critical care physicians in the last decade and it has been advocated as the gold standard practice for internal jugular vein (IJV) catheterization.
METHODS
We report a technique used at our second level hospital for cannulating either subclavian vein or innominate vein using a supraclavicular (SCV) approach under real time ultrasound guidance for elective positioning of long, medium or short-term central venous catheters (CVC). We report one year of practice.
RESULTS
A total of 347 intravascular devices were positioned; successful USG SCV cannulation with no complication, failure or malposition was reported in 119 cases.
CONCLUSIONS
The SCV approach under ultrasound guidance is feasible and safe.
目的
在过去十年中，超声引导（USG）中心静脉置管在麻醉医生和重症监护医生中变得非常流行，并且它已被倡导为颈内静脉（IJV）置管的金标准操作。
方法
我们报告了在我们二级医院使用的一种技术，即在实时超声引导下采用锁骨上（SCV）入路对锁骨下静脉或无名静脉进行置管，用于选择性放置长期、中期或短期中心静脉导管（CVC）。我们报告了一年的实践情况。
结果
共放置了347个血管内装置；119例报告超声引导下锁骨下静脉置管成功，无并发症、失败或位置不当情况。
结论
超声引导下的锁骨下静脉入路是可行且安全的。
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