Buithieu J, Schultz H J, Higano S H, Cahill D R
Mayo Graduate School of Medicine, Rochester, Minnesota, USA.
Clin Anat. 1996;9(4):219-26. doi: 10.1002/(SICI)1098-2353(1996)9:4<219::AID-CA1>3.0.CO;2-9.
Catheterization of the subclavian and internal jugular veins is a commonly performed procedure for monitoring the hemodynamic, respiratory, and fluid status of patients as well as for delivery of special potent drugs and nutritive solutions. In inexperienced hands, this procedure can carry significant morbidity. A comprehensive central line placement teaching program has been developed at our institution centered upon an anatomy and catheterization skills workshop. A dedicated anatomic specimen has been prepared to emphasize key anatomical concepts about the subclavian and internal jugular veins. A design with easily reflectable flaps allows quick and simple visualization of needle position after supervised cannulation attempts. Workshop preparation and teaching sessions benefit from close collaboration between anatomists and clinicians. This should help standardize residents' exposure to central venous cannulation techniques and ensure basic procedure skills prior to actual cannulation in patients.
锁骨下静脉和颈内静脉置管是一种常用的操作，用于监测患者的血流动力学、呼吸和液体状态，以及输送特殊强效药物和营养溶液。在经验不足的人手中，这个操作可能会带来严重的并发症。我们机构开发了一个全面的中心静脉置管教学计划，其核心是解剖学和置管技能工作坊。已经准备了一个专门的解剖标本，以强调关于锁骨下静脉和颈内静脉的关键解剖学概念。一种带有易于翻转皮瓣的设计，能在监督下进行插管尝试后快速、简单地观察针的位置。工作坊的准备和教学环节受益于解剖学家和临床医生之间的密切合作。这有助于规范住院医师接触中心静脉置管技术的机会，并确保在实际为患者进行插管之前掌握基本的操作技能。
