Global Vascular Access, LLC, Scottsdale, AZ, USA.
Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
J Vasc Access. 2024 Sep;25(5):1403-1408. doi: 10.1177/11297298231178064. Epub 2023 Jun 2.
Direct puncture and cannulation of peripheral arteries is frequently performed in critical care and in emergency settings, mainly for hemodynamic monitoring and blood sampling. While there is abundant literature on peripheral arterial cannulation in children and adults, there is still scope for clinical improvements which may impact on patient safety. Although the radial artery is the most frequently utilized access site today, due to its superficial proximity, ease of access, and low risk of adverse events, other sites are sometimes chosen. The authors propose the Safe Insertion of Arterial Catheters (SIA) protocol, an ultrasound-guided insertion bundle applying a systematic approach to arterial cannulation, with a focus on improving insertion practices, reducing procedural complications, increasing the patient safety profile, and improving device performance.
在重症监护和急救环境中，经常进行外周动脉的直接穿刺和置管，主要用于血流动力学监测和血液采样。虽然有大量关于儿童和成人外周动脉置管的文献，但仍有临床改进的空间，这可能会影响患者的安全。虽然桡动脉是目前最常用的入路部位，但由于其位置表浅，易于接近，且不良事件风险低，因此有时也会选择其他部位。作者提出了安全动脉置管（SIA）方案，这是一种超声引导下的置管套件，采用系统的方法进行动脉置管，重点是改进置管操作，减少操作并发症，提高患者的安全性，并提高器械的性能。
