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全球范围内在新生儿血管通路中使用超声：RA.CE.VA：植入和并发症处理。

Global use of ultrasound in newborn vascular access: RA. CE. VA: implantation and management of complications.

机构信息

Neonatal Intensive Care Unit, A.O.U. Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

J Ultrasound. 2024 Jun;27(2):397-406. doi: 10.1007/s40477-023-00813-4. Epub 2023 Sep 1.

DOI:10.1007/s40477-023-00813-4
PMID:37656369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11178687/
Abstract

The use of ultrasound is advantageous in many respects: pre-procedural vein selection, real-time venipuncture, tip navigation (to verify guidewire or catheter progression) and post-procedural tip location, detection of early (hematoma, pneumothorax, hemothorax) and late complications (cardiac tamponade, fibroblastic sleeve, thrombosis).Such assessment is best performed using a systematic and standardized approach, as the Rapid Central Vein Assessment, described in this study for neonates too.

摘要

超声的使用在许多方面都有优势

术前静脉选择、实时静脉穿刺、尖端导航（以验证导丝或导管的行进）和术后尖端位置、早期（血肿、气胸、血胸）和晚期并发症（心脏压塞、纤维鞘、血栓形成）的检测。这种评估最好使用系统和标准化的方法进行，正如本研究中为新生儿描述的快速中心静脉评估。

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Global use of ultrasound in newborn vascular access: RA. CE. VA: implantation and management of complications.全球范围内在新生儿血管通路中使用超声：RA.CE.VA：植入和并发症处理。
J Ultrasound. 2024 Jun;27(2):397-406. doi: 10.1007/s40477-023-00813-4. Epub 2023 Sep 1.
2
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Systematic review of ultrasound-guided central venous catheter placement-related complications in neonates and infants aged <12 months.超声引导下新生儿和<12 月龄婴儿中心静脉置管相关并发症的系统评价
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引用本文的文献

1
Advantages of the use of ultrasound in newborn vascular access: a systematic review.超声在新生儿血管通路中的应用优势：系统评价。
J Ultrasound. 2024 Jun;27(2):203-207. doi: 10.1007/s40477-023-00832-1. Epub 2023 Oct 6.

本文引用的文献

1
Ultrasound Guided Catheter Tip Location in Neonates: A Prospective Cohort Study.超声引导下新生儿导管尖端定位：一项前瞻性队列研究。
J Pediatr. 2022 May;244:86-91.e2. doi: 10.1016/j.jpeds.2021.12.059. Epub 2021 Dec 28.
2
Neo-ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in neonates.新型经食管超声心动图技术（Neo-ECHOTIP）：一种基于超声的尖端导航和定位的结构化方案，用于新生儿中心静脉置管过程中。
J Vasc Access. 2022 Sep;23(5):679-688. doi: 10.1177/11297298211007703. Epub 2021 Apr 5.
3
Ultrasound-guided cannulation of the brachiocephalic vein in newborns: A novel approach with a supraclavicular view for tip navigation and tip location.新生儿超声引导下的头臂静脉置管：一种采用锁骨上视图进行尖端导航和尖端定位的新方法。
J Vasc Access. 2022 Jul;23(4):515-523. doi: 10.1177/11297298211001159. Epub 2021 Mar 16.
4
International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).欧洲儿科和新生儿重症监护学会（ESPNIC）的即时超声检查（POCUS）工作组发布的关于危重新生儿和儿童即时超声检查（POCUS）的国际循证指南。
Crit Care. 2020 Feb 24;24(1):65. doi: 10.1186/s13054-020-2787-9.
5
A Systematic Ultrasound Evaluation of the Diameter of Deep Veins in the Newborn: Results and Implications for Clinical Practice.新生儿深静脉直径的系统超声评估：结果及其对临床实践的意义。
Neonatology. 2019;115(4):335-340. doi: 10.1159/000496848. Epub 2019 Mar 15.
6
Rapid Central Vein Assessment (RaCeVA): A systematic, standardized approach for ultrasound assessment before central venous catheterization.快速中心静脉评估（RaCeVA）：一种用于中心静脉置管前超声评估的系统、标准化方法。
J Vasc Access. 2019 May;20(3):239-249. doi: 10.1177/1129729818804718. Epub 2018 Oct 4.
7
Central venous catheter tip position: another point of view.中心静脉导管尖端位置：另一种观点。
Eur J Anaesthesiol. 2015 Jan;32(1):3-4. doi: 10.1097/EJA.0000000000000050.
8
Central vascular catheter placement evaluation using saline flush and bedside echocardiography.使用生理盐水冲洗和床旁超声心动图评估中心血管导管置入情况。
Acad Emerg Med. 2014 Jan;21(1):65-72. doi: 10.1111/acem.12283.
9
Ultrasound confirmation of central venous catheter position via a right supraclavicular fossa view using a microconvex probe: an observational pilot study.使用微凸探头通过右锁骨上窝视图超声确认中心静脉导管位置：一项观察性初步研究。
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International evidence-based recommendations on ultrasound-guided vascular access.国际超声引导血管通路实践推荐
Intensive Care Med. 2012 Jul;38(7):1105-17. doi: 10.1007/s00134-012-2597-x. Epub 2012 May 22.