在外围插入的中央导管放置在手臂上部时,适当的围压力
Mami Tsubota1,2, Marechika Tsubouchi3, Yuka Miyazaki3
1Department of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan. mamitsubota@gmail.com.
Journal of anesthesia
|December 6, 2024
概括
对于外围插入的中央导管 (PICC) 放置,在透气和静脉血压之间使用狭窄的袖口门压力,确保基底静脉缩,以实现最佳的穿孔部位可视化.
科学领域:
- 血管接入程序 血管接入程序
- 医疗设备工程 医疗设备工程
- 超声波指导导 超声波指导
背景情况:
- 周边插入的中央导管 (PICC) 放置经常使用超声波指导.
- 之前的研究表明,成人血压手在典型的门压力下可能无法充分收缩静脉.
- 建议在上臂PICC插入时使用窄袖子,以防止遮蔽穿孔部位.
研究的目的:
- 为了确定最佳的门压力,使用狭窄的袖口将PICC插入上臂的基础静脉.
- 为了评估不同轮压力对基底静脉缩的影响.
主要方法:
- 七名健康参与者的上臂血压使用儿科手套测量.
- 袖子在六个层面施加压力:0,D/2,D,DS,S和S+α.
- 超声波评估基底静脉缩在每一个门压力.
主要成果:
- 静脉崩压力在透气压 (D),平均静脉/透气压 (DS) 和静脉压 (S) 时显著增加.
结论:
- 转盘压力从透静到抽缩 (D到S) 适用于基底静脉PICC放置.
- 这种压力范围可促进足够的静脉崩,以改善穿孔部位的可见性.
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