超声导向的关动脉导管放置和关联的并发症在重症患者
Stephanie Cardona1, Aliza S Gross2, Allen T Yu3
1Department of Critical Care Medicine, The Mount Sinai Hospital, New York, NY, USA.
Journal of intensive care medicine
|May 25, 2024
概括
在重症患者中,以超声导向的关动脉导管放置用于血液动力学监测,显示轻微出血是最常见的并发症. 这种技术提供了一个替代方案,当辐射或大腿部的访问是不可行的.
科学领域:
- 临界护理医学 临界护理医学
- 血管接入程序 血管接入程序
背景情况:
- 通过动脉导管监测血液动力学监测是重症监护的标准.
- 半径动脉和大腿动脉是常见的接入点,但关动脉数据有限.
研究的目的:
- 为了研究超声导向关动脉导管放置在重症患者的并发症率.
主要方法:
- 对接受超声导向关动脉导管治疗的ICU患者的回顾性研究.
- 主要结局:与导管相关的并发症 (出血,血管问题,功能障碍等). ) 的情况.
主要成果:
- 88名患者进行了99次导管安置;中位数年龄64岁,女性47%.
- 最常见的并发症:轻微出血 (11%),其次是导管功能障碍 (2%) 和血管并发症 (2%).
- 在人口统计/临床变量和并发症之间没有发现任何关联.
结论:
- 轻微出血是超声波导向关动脉导管治疗中最常见的并发症.
- 这种方法是动脉接入的可行的替代方案,当辐射或大腿部部位无法进入时.
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