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使用针引导套件可提高超声引导技术的稳定性。

The use of a needle guide kit improves the stability of ultrasound-guided techniques.

作者信息

Ueshima Hironobu, Kitamura Akira

机构信息

Department of Anesthesiology, Saitama Medical University International Medical Center, Yamane 1397-1, Saitama, Japan.

出版信息

J Anesth. 2015 Oct;29(5):803-4. doi: 10.1007/s00540-015-2021-0. Epub 2015 May 5.

DOI:10.1007/s00540-015-2021-0
PMID:25940320
Abstract

A needle guide kit will be able to improve visibility on ultrasonic images. We examined the degree of stability using a SIVA guide. The SIVA guide is a needle guide kit in which the angle is not restricted, allowing the puncture to be made at any angle. We punctured the Blue Phantom™ with a high-frequency linear probe with a SIVA guide and measured the intensities of the needle at depths of 0.5, 1.0, 1.5, and 2.0 cm on the ultrasound image with Image J software. We set all punctures angles at 45 degrees from the Blue Phantom™. Six anesthesiologists with >7 years experience performed two punctures-one case was punctured with a SIVA guide and the other was punctured without a SIVA guide. Some significant differences were noted in the results between the two punctures at depths of 1.0, 1.5, and 2.0 cm. We were able to prove that the use of a needle guide kit could improve visibility on ultrasonic images.

摘要

针引导套件能够提高超声图像上的可视性。我们使用SIVA引导器检查了稳定性程度。SIVA引导器是一种针引导套件,其角度不受限制,允许以任何角度进行穿刺。我们使用带有SIVA引导器的高频线性探头对Blue Phantom™进行穿刺,并使用Image J软件在超声图像上测量针在0.5、1.0、1.5和2.0厘米深度处的强度。我们将所有穿刺角度设置为与Blue Phantom™成45度角。六位有超过7年经验的麻醉医生进行了两次穿刺——一次使用SIVA引导器穿刺,另一次不使用SIVA引导器穿刺。在1.0、1.5和2.0厘米深度处的两次穿刺结果之间发现了一些显著差异。我们能够证明使用针引导套件可以提高超声图像上的可视性。

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本文引用的文献

1
The three-step method for ultrasound-guided pediatric internal jugular venous catheterization: a clinical trial.超声引导下小儿颈内静脉置管的三步法:一项临床试验。
J Anesth. 2015 Feb;29(1):131-3. doi: 10.1007/s00540-014-1869-8. Epub 2014 Jul 1.
2
Pneumothorax following ultrasound-guided interscalene block: association or complication?超声引导下斜角肌间隙阻滞术后气胸:是关联还是并发症?
Eur J Anaesthesiol. 2014 Apr;31(4):244. doi: 10.1097/EJA.0000000000000021.
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Ultrasound guidance reduces the risk of local anesthetic systemic toxicity following peripheral nerve blockade.
降低微创经皮肾镜取石术的术后发病率:穿刺时不损伤血管是否有益?一项遵循CONSORT声明的前瞻性随机试验。
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超声引导可降低外周神经阻滞时局部麻醉药全身毒性的风险。
Reg Anesth Pain Med. 2013 Jul-Aug;38(4):289-99. doi: 10.1097/AAP.0b013e318292669b.
4
Perioperative nerve injury after total hip arthroplasty: regional anesthesia risk during a 20-year cohort study.全髋关节置换术后围手术期神经损伤:20 年队列研究中的区域麻醉风险。
Anesthesiology. 2011 Dec;115(6):1172-8. doi: 10.1097/ALN.0b013e3182326c20.
5
Time-consumption risk of real-time ultrasound-guided internal jugular vein cannulation in pediatric patients: comparison with two conventional techniques.实时超声引导下小儿颈内静脉置管的时间消耗风险:与两种传统技术的比较。
J Anesth. 2010 Aug;24(4):653-5. doi: 10.1007/s00540-010-0957-7. Epub 2010 May 11.
6
Ultrasound visibility of needles used for regional nerve block: an in vitro study.用于区域神经阻滞的针具的超声可视性:一项体外研究。
Reg Anesth Pain Med. 2004 Sep-Oct;29(5):480-8.