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超声引导下动脉导管插入术。

Ultrasound-guided arterial catheterization.

作者信息

Cho Sung-Ae, Jang Young-Eun, Ji Sang-Hwan, Kim Eun-Hee, Lee Ji-Hyun, Kim Hee-Soo, Kim Jin-Tae

机构信息

Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Anesth Pain Med (Seoul). 2021 Apr;16(2):119-132. doi: 10.17085/apm.21012. Epub 2021 Apr 15.

DOI:10.17085/apm.21012
PMID:33866769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8107253/
Abstract

Ultrasonography facilitates arterial catheterization compared to traditional palpation techniques, especially in small arteries. For successful catheterization without complications, practitioners should be familiar with the anatomic characteristics of the artery and ultrasound-guided techniques. There are two approaches for ultrasound-guided arterial catheterization: the short-axis view out-of-plane approach and the long-axis view in-plane approach. There are several modified techniques and tips to facilitate ultrasound-guided arterial catheterization. This review deals with the anatomy relevant to arterial catheterization, several methods to improve success rates, and decrease complications associated with arterial catheterization.

摘要

与传统的触诊技术相比，超声检查有助于动脉插管，尤其是在小动脉中。为了成功进行插管且无并发症，从业者应熟悉动脉的解剖特征和超声引导技术。超声引导动脉插管有两种方法：短轴视图平面外方法和长轴视图平面内方法。有几种改良技术和技巧可促进超声引导动脉插管。本综述涉及与动脉插管相关的解剖结构、几种提高成功率的方法以及减少与动脉插管相关的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/813d2ece4050/apm-21012f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/347d1792eac2/apm-21012f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/5a357915ee1c/apm-21012f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/6e369338ea6e/apm-21012f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/575c6f22513b/apm-21012f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/c0d1f74dca63/apm-21012f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/813d2ece4050/apm-21012f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/347d1792eac2/apm-21012f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/5a357915ee1c/apm-21012f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/6e369338ea6e/apm-21012f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/575c6f22513b/apm-21012f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/c0d1f74dca63/apm-21012f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/158b/8107253/813d2ece4050/apm-21012f6.jpg

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本文引用的文献

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Major Short-term Complications of Arterial Cannulation for Monitoring in Children.儿童监测用动脉插管的主要短期并发症。
Anesthesiology. 2021 Jan 1;134(1):26-34. doi: 10.1097/ALN.0000000000003594.
2
Flow-Mediated Dilatation of the Brachial Artery for Assessing Endothelial Dysfunction in Children with Moyamoya Disease.肱动脉血流介导的扩张在评估儿童烟雾病患者内皮功能障碍中的作用。
Pediatr Neurosurg. 2020;55(3):149-154. doi: 10.1159/000509406. Epub 2020 Aug 11.
3
Ultrasound guidance and risk for intravascular catheter-related infections among peripheral arterial catheters: a post-hoc analysis of two large randomized-controlled trials.
婴儿经肱动脉栓塞治疗大脑大静脉动脉瘤样畸形：病例展示
J Neurosurg Case Lessons. 2025 Mar 24;9(12). doi: 10.3171/CASE24861.
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A guide for arterial line insertion for the South African primary care practitioner.南非初级保健从业者动脉穿刺置管指南。
S Afr Fam Pract (2004). 2025 Jan 31;67(1):e1-e12. doi: 10.4102/safp.v67i1.5976.
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Acoustic Shadowing to Facilitate Ultrasound Guided Arterial Cannulation: A Systematic Review and Meta-analysis of Randomized Controlled Trials.利用声影辅助超声引导下动脉置管：随机对照试验的系统评价和荟萃分析
Indian J Crit Care Med. 2024 Jul;28(7):677-685. doi: 10.5005/jp-journals-10071-24751.
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Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery: Guidelines of the German Society of Anaesthesiology and Intensive Care Medicine in collaboration with the German Association of the Scientific Medical Societies.成人非心脏手术术中血流动力学监测与管理：德国麻醉与重症监护医学学会与德国科学医学协会联合会指南。
J Clin Monit Comput. 2024 Oct;38(5):945-959. doi: 10.1007/s10877-024-01132-7. Epub 2024 Feb 21.
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Development and validation of a nomogram for predicting difficult radial artery cannulation in adult surgical patients.成人外科手术患者桡动脉穿刺困难预测列线图的开发与验证
Heliyon. 2024 Jan 19;10(2):e24524. doi: 10.1016/j.heliyon.2024.e24524. eCollection 2024 Jan 30.
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Patient and Technical Factors Associated with Difficult Arterial Access and Ultrasound Use in the Operating Room.手术室中与困难动脉穿刺及超声使用相关的患者因素和技术因素。
Children (Basel). 2023 Dec 24;11(1):21. doi: 10.3390/children11010021.
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European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access).欧洲麻醉学会关于围手术期超声引导血管通路（PERSEUS 血管通路）使用指南。
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