Convissar David, Bittner Edward A, Chang Marvin G
Anesthesiology and Critical Care, Massachusetts General Hospital, Boston, USA.
Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, USA.
Cureus. 2021 Jan 7;13(1):e12561. doi: 10.7759/cureus.12561.
The use of ultrasound guidance for the placement of difficult IVs, arterial lines, and central venous access has become the standard of care. While imaging quality has improved over the last two decades, the lack of affordability, availability, and training have been major limitations in its routine clinical use. We detail the first reported use of biplane imaging using a portable ultrasound probe for difficult vascular access to increase first past success, efficiency, safety, and sterility during the coronavirus disease 2019 (COVID-19) pandemic.
使用超声引导放置困难的静脉输液管、动脉导管和中心静脉通路已成为护理标准。尽管在过去二十年中成像质量有所提高,但缺乏可负担性、可及性和培训一直是其在常规临床应用中的主要限制因素。我们详细介绍了首次报道的在2019冠状病毒病(COVID-19)大流行期间,使用便携式超声探头进行双平面成像以实现困难血管通路穿刺,从而提高首次穿刺成功率、效率、安全性和无菌性的情况。