Lawless S, Orr R
Department of Anesthesia/Critical Care Medicine and Pediatrics, Children's Hospital, Pittsburgh, Pennsylvania.
Pediatrics. 1989 Aug;84(2):273-5.
Use of the axillary artery for hemodynamic monitoring has gained acceptance in critically ill adults. However, there is little information concerning the safety and complications of such catheters in the pediatric population. Sixteen pediatric patients who had axillary lines placed for pressure monitoring were evaluated for neurologic and vascular function, by comparing the arm with the axillary line with the contralateral arm. There were no major complications during axillary artery monitoring. After decannulation, systolic blood pressure did not differ between arms. In a pediatric critical care environment with skilled ongoing nursing care, the axillary artery can be used as a site for intraarterial monitoring in pediatric patients without a detrimental effect on concurrent or future blood pressure monitoring.
在危重症成人患者中，使用腋动脉进行血流动力学监测已得到认可。然而，关于此类导管在儿科患者中的安全性和并发症的信息却很少。通过将放置有腋动脉导管的手臂与对侧手臂进行比较，对16例因压力监测而放置腋动脉导管的儿科患者的神经和血管功能进行了评估。在腋动脉监测期间未发生重大并发症。拔管后，两侧手臂的收缩压无差异。在有熟练持续护理的儿科重症监护环境中，腋动脉可作为儿科患者动脉内监测的部位，对同时或未来的血压监测无不利影响。
