两种超声波导向技术的比较,用于成年人的辐射动脉通道 - 观察性横截面研究
M K Safiya Sherrin1, Paul O Raphael1, Lini Chacko1
1Department of Anaesthesiology, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
Indian journal of anaesthesia
|June 12, 2023
概括
动态针尖定位 (DNTP) 与长轴,平面内 (LAIP) 技术相比,提供更快的超声波定位时间,用于辐射动脉通道. 成功率相似,但DNTP的效率更高.
科学领域:
- 医疗成像医学成像
- 超声波技术 超声波技术 超声波技术
- 血管接入 血管接入
背景情况:
- 超声导向的辐射动脉通道利用短轴,离平面 (SAOOP) 和长轴,在平面 (LAIP) 的方法.
- 动态针尖定位 (DNTP) 是一种新的技术,结合了SAOOP和LAIP的特点.
研究的目的:
- 为了比较LAIP和DNTP技术的成功率,用于超声波导向的辐射动脉通道.
- 为了将辐射动脉直径和深度与管成功率相关联.
主要方法:
- 一项涉及114名成年患者的横截面研究 (ASA I-IV).
- 与LAIP和DNTP技术之间的成功率的比较.
- 辐射动脉直径和深度与通道输出结果的相关性分析.
主要成果:
- 在LAIP和DNTP技术中观察到类似的成功率 (P=0.094).
- 与LAIP (7.14 ± 1.08s) 相比,DNTP (4.35 ± 0.97s) 的超声波定位时间显著缩短 (P=0.0001).
- 随着辐射动脉直径的增加 (r=-0.602,P=0.0001) 炮管时间减少,但深度 (r=0.034,P=0.723) 没有影响.
结论:
- 无论是LAIP还是DNTP,都在辐射动脉通道化方面取得了相似的成功率.
- 由于缩短了超声波定位时间,DNTP表现出卓越的效率.
- 辐射动脉直径是影响管时间的重要因素,而深度不是.
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