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超声引导下颈内静脉置管的困境

Dilemma during ultrasound-guided internal jugular venous catheterization.

作者信息

Dwarakanath Sanjay, Cheriyan Monica, Rebel Annette

机构信息

Department of Anesthesiology University of Kentucky Lexington Kentucky.

Present address: Cleveland Clinic Regional Practice Anesthesiology 9500 Euclid Avenue Cleveland 44195 Ohio.

出版信息

Clin Case Rep. 2017 Sep 5;5(10):1728-1729. doi: 10.1002/ccr3.1117. eCollection 2017 Oct.

DOI:10.1002/ccr3.1117
PMID:29026586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5628241/
Abstract

The presence of Internal Jugular Valves can pose a diagnostic and procedural challenge during ultrasound-guided cannulation. After ruling out dissection, thrombus, or ultrasound artifacts, it can still be accessed and successfully cannulated with appropriate precautions including use of Live ultrasound, positioning, use of soft-tipped catheters, and minimizing duration of catheter placement.

摘要

颈内静脉瓣的存在可能在超声引导下插管过程中带来诊断和操作上的挑战。在排除夹层、血栓或超声伪像后，通过采取适当的预防措施，包括使用实时超声、调整体位、使用软头导管以及尽量缩短导管置入时间，仍可成功进入并进行插管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d9/5628241/f8b6e0458e16/CCR3-5-1728-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d9/5628241/f8b6e0458e16/CCR3-5-1728-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d9/5628241/f8b6e0458e16/CCR3-5-1728-g001.jpg

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1
Dilemma during ultrasound-guided internal jugular venous catheterization.超声引导下颈内静脉置管的困境
Clin Case Rep. 2017 Sep 5;5(10):1728-1729. doi: 10.1002/ccr3.1117. eCollection 2017 Oct.
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本文引用的文献

1
Intravascular Complications of Central Venous Catheterization by Insertion Site.经插入部位的中心静脉导管相关的血管内并发症
N Engl J Med. 2015 Sep 24;373(13):1220-9. doi: 10.1056/NEJMoa1500964.
2
Human internal jugular valve M-mode ultrasound characterization.人体颈内静脉瓣膜 M 型超声特征。
Curr Neurovasc Res. 2014 May;11(2):149-55. doi: 10.2174/1567202611666140408094014.
3
Internal jugular valve and central catheter placement.
Anesthesiology. 2010 Apr;112(4):979. doi: 10.1097/ALN.0b013e3181d436de.