Motoyama Hironori, Tokumine Joho, Saito Yukiko, Moriyama Kiyoshi, Yorozu Tomoko
Department of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Sinkawa, Mitaka, Tokyo, 181-8611, Japan.
JA Clin Rep. 2024 Sep 19;10(1):58. doi: 10.1186/s40981-024-00743-y.
Despite advancements in ultrasonography, locating peripheral veins for catheter placement remains a challenge in patients with altered anatomy owing to multiple surgeries. Herein, we highlight the potential of using the radial vein as an alternative site for ultrasound-guided peripheral venous catheterization.
We present two cases of patients with extensive surgical histories, including multiple abdominal surgeries, leading to difficult peripheral venous access. Traditional sites for peripheral venous catheterization were unsuitable due to vein narrowing or lack of visibility. In both cases, ultrasonography helped identify the radial vein as the only viable site for catheter placement. The patients underwent successful ultrasonography-guided catheterization of the radial vein without complications, facilitating medical management, including anesthesia induction and intraoperative monitoring.
The radial vein is a feasible and safe alternative for ultrasound-guided peripheral venous access in patients where traditional venous access sites are compromised.
尽管超声检查技术有所进步，但对于因多次手术导致解剖结构改变的患者而言，寻找外周静脉进行导管置入仍是一项挑战。在此，我们强调将桡静脉作为超声引导下外周静脉置管替代部位的潜力。
我们呈现两例有广泛手术史的患者，包括多次腹部手术，导致外周静脉穿刺困难。由于静脉狭窄或不可见，传统的外周静脉置管部位并不合适。在这两例病例中，超声检查均有助于确定桡静脉是唯一可行的导管置入部位。患者均成功接受了超声引导下的桡静脉置管，且无并发症发生，这有利于包括麻醉诱导和术中监测在内的医疗管理。
对于传统静脉穿刺部位受损的患者，桡静脉是超声引导下外周静脉穿刺的一种可行且安全的替代选择。
