Machi J, Takeda J, Kakegawa T
Am J Surg. 1987 Mar;153(3):321-3. doi: 10.1016/0002-9610(87)90619-2.
Although jugular and subclavian venipuncture is a valuable technique and frequently utilized, blind venipuncture is at times associated with complications such as arterial puncture, pneumothorax, and malpositioning of catheters. We performed venipuncture under the guidance of high-resolution real-time ultrasonography, and these catheter-related complications were prevented. Jugular, subclavian and innominate veins and arteries, the pleura, and the lung are all delineated by supraclavicular and subclavicular scanning, and the needle and catheter can also be visualized. Ultrasonographically-assisted jugular and subclavian venipuncture is a simple and helpful procedure to carry out safe venipuncture. This method is particularly recommended for less experienced physicians and for more accurate puncture in patients with distorted cervical or subclavicular anatomic characteristics.
尽管颈静脉和锁骨下静脉穿刺是一项有价值的技术且经常被使用，但盲目穿刺有时会伴有诸如动脉穿刺、气胸和导管位置不当等并发症。我们在高分辨率实时超声引导下进行静脉穿刺，从而预防了这些与导管相关的并发症。通过锁骨上和锁骨下扫描可以清晰显示颈静脉、锁骨下静脉和无名静脉与动脉、胸膜及肺，同时也能看到针和导管。超声辅助下的颈静脉和锁骨下静脉穿刺是一种简单且有助于安全穿刺的操作。对于经验不足的医生以及颈部或锁骨下解剖特征扭曲的患者进行更精确的穿刺，特别推荐使用这种方法。
