POCUS指导小沙静脉管:一种新的方法,用于横卧的外围静脉评估
Chitta Ranjan Mohanty1, Rakesh Vadakkethil Radhakrishnan2, Anju Gupta3
1Department of Trauma and Emergency, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
The journal of vascular access
|December 13, 2023
概括
在易受感染的患者中,护理点超声波 (POCUS) 有助于难以静脉输入 (DIVA). 超声导向小沙静脉管在这种具有挑战性的位置提供了可靠的紧急PIVC解决方案.
科学领域:
- 医疗程序 医疗程序
- 超声波应用 超声波应用
- 紧急医疗 紧急医疗
背景情况:
- 周围静脉管 (PIVC) 是常见的,但在近三分之一的患者中很困难.
- 在手术期间处于俯卧位置的PIVC在紧急访问中提出了独特的挑战.
- 难以静脉注射 (DIVA) 的管理需要有效的策略.
研究的目的:
- 评估护理点超声波 (POCUS) 的可行性,以引导PIVC躺卧.
- 确定适合用于POCUS引导PIVC的静脉在需要在倾斜时紧急访问的患者中.
- 为了确定小沙静脉 (SSV) 作为DIVA在倾斜位置的可行选择.
主要方法:
- 利用护理点超声波 (POCUS) 进行实时可视化.
- 针对位于后侧中的小沙静脉 (SSV).
- 在POCUS指导下使用18-G导管在躺着的患者身上进行PIVC.
主要成果:
- 通过使用POCUS指导,成功道化了小沙静脉 (SSV).
- 超声波导管的SSV显示出适合超声波导管的直径和深度.
- 在一个多创伤患者中,在手术治疗期间,在倾斜的位置上取得了成功的PIVC.
结论:
- 护理点超声波 (POCUS) 是有效的指导在倾斜的位置外周静脉注射管道 (PIVC).
- 小沙静脉 (SSV) 是POCUS导向DIVA在易受感染的患者中的一致且可访问的目标.
- 以POCUS引导的SSV导管是紧急DIVA在具有挑战性的手术内倾斜位置的可靠选择.
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