超声波和胸部X射线之间的比较,以确认中央静脉导管尖端的位置
Leoni de Man1, Mari Wentzel2, Cornel van Rooyen3
1Department of Anaesthesiology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
SA journal of radiology
|July 7, 2023
概括
超声波为中心静脉导管 (CVC) 错位提供了快速的床边查,显示出高灵敏度,与胸部X射线相比,显著减少了手术时间. 这种方法提高了检测CVC位置准确性的效率.
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
- 干预心脏病学 干预心脏病学
背景情况:
- 中枢静脉导管 (CVC) 放置并发症包括错位和肺胸.
- 胸部X射线 (CXR) 是验证心血管中心位置的标准术后方法.
研究的目的:
- 评估术前超声波的诊断准确度,以及用于检测心血管中心错位和肺胸部的"泡测试".
- 为了比较超声波评估的效率与传统的CXR.
主要方法:
- 一项前性观察性研究包括61名接受CVC安置的患者.
- 一个超声波协议可视化了CVC,使用激动盐水进行了"泡测试",并评估了肺胸部.
- 超声波评估时间与CXR时间进行比较.
主要成果:
- 超声波检测发现8个 (13.1%) 错位,敏感度为0.85,特异性为0.5.
- 胸部X射线检测出12个 (19.7%) 的位置错误.
- 超声波评估 (中位数4分钟) 比CXR (中位数29分钟) 快得多.
结论:
- 术前超声波显示高灵敏度和适度的特异性检测心血管中心的错位.
- 超声波作为一种高效,快速的床边查工具,改善了CVC安置验证.
相关概念视频
Radiological Investigation I: X-ray and CT
295
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
295
Imaging Studies for Cardiovascular System III: X-Ray
219
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
219
Ultrasonography
4.6K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.6K
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
Imaging Studies for Cardiovascular System I:Echocardiography
386
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
386
Imaging Studies for Cardiovascular System V: CT
45
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
45


