紧急医生进行了超声波引导的腹腔:回顾性分析
Brandon M Wubben1,2, Jad Dandashi1, Omar Rizvi1
1Department of Emergency Medicine, University of Arizona College of Medicine Tucson, AZ USA.
POCUS journal
|April 29, 2024
概括
紧急医生可以使用高成功率的护理点超声波 (POCUS) 成功执行超声波导向的形. 建议在此过程中使用线性传感器并保持无菌技术,以获得最佳结果.
科学领域:
- 紧急医疗 紧急医疗
- 医学超声波 医学超声波
- 程序干预 程序干预
背景情况:
- 紧急医生通常使用护理点超声波 (POCUS) 进行腹腔.
- 超声导向的造术提供了实时针头可视化,提高了程序的安全性和有效性.
- 在超声波引导的体检中,特征化紧急医生的表现对于优化患者护理至关重要.
研究的目的:
- 为了评估紧急医生使用POCUS进行的超声波导向体检查的性能,使用POCUS.
- 为了评估在手术过程中的良好飞机内针头可视化率.
- 为了确定与成功的超声波导向造术相关的因素.
主要方法:
- 对POCUS数据库的回顾性审查,用于由紧急医生进行的腹腔体.
- 对病人的人口统计,程序细节,并发症和结果的医疗记录进行分析.
- 描述性统计分析,以总结程序成功和相关因素.
主要成果:
- 超声波导向造术的成功率达到了97.7%,相当于超声波辅助方法 (95.6%).
- 58%的程序实现了良好的飞行器内针头可视化;24%的程序在保存的图像上缺乏针头可视性.
- 曲线传感器出现了程序失败;线性传感器与成功的结果有关. 常见的并发症包括炎泄漏,部位感染和轻微出血.
结论:
- 紧急医生可以有效地在POCUS的ED中进行超声波导向体,实现高成功率和没有致命并发症.
- 建议包括使用线性传感器以更好地可视化并注意容器识别和无菌技术.
- 实时超声波针引导培训提高了急诊医生在体术方面的熟练程度.
更多相关视频
07:44Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
5.8K
05:50Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
2.8K
相关概念视频
01:26Endoscopic Studies II: Thoracocentesis
253
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
253
01:26Endoscopic Procedures V: ERCP
202
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
202
01:20Ultrasound I: Abdominal Ultrasonography
213
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
213