经腋动脉进行血管内监测。

Intravascular monitoring via the axillary artery.

作者信息

Brown M, Gordon L H, Brown O W, Brown E M

出版信息

Anaesth Intensive Care. 1985 Feb;13(1):38-40. doi: 10.1177/0310057X8501300107.

Abstract

Axillary artery cannulation was performed in 31 patients in whom the radial arteries were unavailable or unsuitable for cannulation. The artery was first cannulated with an 18-gauge needle, after which a Seldinger guide wire (0.032-inch diameter) was passed, which was used to introduce a 6-inch, 18-gauge Teflon catheter. The mean duration of cannulation was 3.2 days (range 19 hours to 8 days). All patients were assessed for complications of the procedure up to 72 hours after decannulation. No serious complications were encountered. It is concluded that the axillary artery is a safe alternative in the absence of an available radial artery when arterial cannulation is indicated.

摘要

在31例桡动脉无法使用或不适合插管的患者中进行了腋动脉插管。首先用18号针头穿刺动脉，然后插入一根Seldinger导丝（直径0.032英寸），再用该导丝引入一根6英寸长的18号聚四氟乙烯导管。平均插管时间为3.2天（范围为19小时至8天）。对所有患者在拔管后72小时内进行了该操作并发症的评估。未遇到严重并发症。结论是，当需要进行动脉插管而又没有可用的桡动脉时，腋动脉是一种安全的替代选择。