在中央线插入后,常规的胸部X射线图是否仍然适用? 一个范围审查审查
P G Brindley1, J Deschamps2, L Milovanovic1
1Department of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada.
Journal of the Intensive Care Society
|May 13, 2024
概括
对于中央静脉导管的常规插入后胸部放射是不必要的. 护理点超声波 (POCUS) 提供了一个更安全,更准确,更具成本效益的替代方案,减少辐射暴露和节省时间.
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:
- 中心静脉导管 (CVC) 插入越来越多地由护理点超声波 (POCUS) 指导.
- 常规的插入后胸部X射线图是常见的,以确认CVC的放置,特别是在手术室外的下关节和内线.
- 本综述评估了例行插入后放射图的必要性,并探讨了POCUS作为替代方案.
研究的目的:
- 评估CVC安置后常规插入后胸部X射线图的合理性.
- 为了确定插入后的POCUS是否可以取代常规的X线图.
- 确定采用POCUS用于插入后确认的障碍.
主要方法:
- 在Ovid MEDLINE和EMBASE数据库中进行了全面的文献搜索,直到2023年2月.
- 关键词包括"声谱"",超声波"",超声波"和"中央静脉导管".
- 包括的研究包括随机对照试验,队列研究,系统审查和成人调查,以英语或法语出版.
主要成果:
- 该审查选了4071篇文章,保留了41篇用于分析.
- 研究检查了各种POCUS方法用于CVC确认,包括综合方法.
- 还解决了POCUS采用的障碍,例如成本和培训时间.
结论:
- 文献支持停止为CVC进行常规的插入后胸部X射线图.
- POCUS提供了可比或更高的安全性,准确性和效率,同时降低了辐射暴露和成本.
- 对POCUS采用的已识别的障碍是可以克服的,为改善临床实践铺平了道路.
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