Kübler A, Gołebiowska B, Pławiak T
Katedry i Kliniki Anestezjologii i Intensywnej Terapii Akademii Medycznej we Wrocławiu.
Przegl Lek. 1997;54(11):802-5.
The internal jugular vein cannulation is a commonly used route for access to the central venous system for therapeutic and diagnostic purposes. Although the great majority of this venous puncture are successfully performed using anatomic landmark technique, serious complication such as pneumothorax, arterial puncture or hemothorax can occur during this procedure, particularly under difficult clinical condition. A simple, ultrasound-guided technique has been developed using a portable scanner with transducer optimized for venous access. The authors experience in over 100 cases of ultrasound-guided central venous cannulations has been described. Ultrasound guidance reduces the number of passes needed to puncture the vein, increases the success rate of venous puncture, and minimizes complications. Ultrasound guidance is usually successful in allowing performance of internal jugular vein cannulation when landmark technique fail.
颈内静脉置管是一种常用于进入中心静脉系统以进行治疗和诊断的途径。尽管绝大多数此类静脉穿刺是使用解剖标志技术成功完成的，但在此操作过程中，尤其是在困难的临床情况下，可能会发生严重并发症，如气胸、动脉穿刺或血胸。一种简单的超声引导技术已经开发出来，使用的是一台配备了专为静脉穿刺优化的换能器的便携式扫描仪。本文描述了作者在100多例超声引导下中心静脉置管中的经验。超声引导减少了穿刺静脉所需的进针次数，提高了静脉穿刺成功率，并将并发症降至最低。当解剖标志技术失败时，超声引导通常能成功地进行颈内静脉置管。
