Cho Sung-Ae, Jang Young-Eun, Ji Sang-Hwan, Kim Eun-Hee, Lee Ji-Hyun, Kim Hee-Soo, Kim Jin-Tae
Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Anesth Pain Med (Seoul). 2021 Apr;16(2):119-132. doi: 10.17085/apm.21012. Epub 2021 Apr 15.
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.
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。