在心脏手术中,通过食道心声扫描探针作为表面探针与血管探针在右侧内静脉导管治疗期间进行的比较
Nishant R Antony1, Subash Sundarsingh, Anil Radhakrishnan
1Department of Anesthesia, KIMSHealth, Trivandrum, Kerala, India.
Annals of cardiac anaesthesia
|July 4, 2024
概括
心声扫描 (TEE) 探针是超声波 (USG) 血管探针的可行替代品,用于指导心脏手术期间右内静脉 (IJV) 导管. 在这项比较研究中,这两种方法的安全性和疗效都相当.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 医疗成像医学成像
背景情况:
- 中心静脉导管 (CVC) 在心脏手术中至关重要.
- 超声波血管 (USG) 和食道间心声回声 (TEE) 探针可以帮助指导CVC并确认导线的放置.
- 有限的研究比较了作为表面探针使用的TEE探针与用于右内静脉 (IJV) 管道的USG血管探针.
研究的目的:
- 为了比较使用TEE探头作为表面探头的有效性和安全性,与USG血管探头对心脏手术患者的右侧IJV导管治疗进行比较.
主要方法:
- 一项前性比较研究包括了124名接受重大心脏手术的患者.
- 患者被随机分为两个组 (TEE组,n=62;USG组,n=62).
- 测量结果包括穿刺时间,IJV可视化到穿刺时间,以及针尖和导管定位的图像质量.
主要成果:
- 无论是TEE还是USG的血管探针都被证明是可行的,用于指导右侧IJV导管.
- 在TEE和USG组之间没有观察到关于穿孔时间,图像质量,针尖定位,线位或导管定位 (P>0.05) 的统计学上显著差异.
结论:
- TEE探头可以作为指导IJV导管的可行替代品,特别是当USG血管探头无法使用时.
- 这种方法在心脏手术环境中尤其实用,因为TEE监测是标准的,并且易于获得.
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