在孕妇患者中使用表面腹壁静脉用于紧急血管接入
Christine Ha1, Rotem Naftalovich1,2, Faraz Chaudhry1
1Rutgers, The State University of New Jersey, New Jersey Medical School, Newark, NJ 07103, USA.
Case reports in anesthesiology
|June 9, 2023
概括
在紧急情况下,表面腹静脉可以在其他选择失败时为剖腹产提供血管接入. 起初可能需要使用一个小的静脉注射管,后来插入一个更大的.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 血管外科 血管外科
背景情况:
- 在紧急剖腹产期间,可以利用表面腹静脉进行血管接入.
- 这些静脉在体检时可能被错误地识别为严重性.
- 当需要立即访问时,使用小静脉注射 (IV) 管可以是一个关键的节省时间的措施.
研究的目的:
- 评估在紧急剖腹产手术期间使用表面腹静脉进行血管接入的可行性和影响.
- 讨论在孕妇患者中用小静脉注射小管启动全身麻醉的风险和益处.
主要方法:
- 需要紧急剖腹产手术的病例的回顾性分析,具有具有挑战性的血管接入.
- 审查麻醉管理策略,包括使用表面腹静脉.
- 评估患者大规模周边出血的危险因素.
主要成果:
- 表面腹静脉可以提供一个可行的,虽然不是理想的,当其他网站是不可用的血管接入的选择.
- 初始使用小型静脉注射管可以促进及时的麻醉诱导,最大限度地减少延迟.
- 一个更大的孔IV可以随后插入,一旦气道安全和手术暴露正在进行中.
结论:
- 利用表面腹静脉是一种潜在的策略,可以在紧急剖腹产手术中克服血管接入的挑战.
- 在决定麻醉管理时,仔细考虑母亲出血的危险因素至关重要.
- 这种方法可以在危急情况下挽救生命,平衡时间限制和患者安全.
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