对优化心脏外科手术中超声导向右内静脉导管深度的外部和放射学里程碑方法的评估
Artid Samerchua1, Panuwat Lapisatepun2, Pattaranee Srichairatanakool1
1Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, 110 Intavaroros Rd, Muang, Chiang Mai, 50200, Thailand.
Scientific reports
|January 9, 2025
概括
外部标志性方法准确地估计了心脏手术患者的右内静脉导管深度,优于放射学方法. 这种简单的技术可以提高导管放置的可靠性.
科学领域:
- 医疗程序 医疗程序
- 麻醉学 麻醉学
- 血管接入 血管接入
背景情况:
- 超声导向内静脉 (IJV) 导管深度估计可能不准确.
- 基于外部地标和基于放射性地标的方法提供了替代方法.
研究的目的:
- 评估外部和放射学基准方法的准确性,以估计右IJV导管深度.
- 为了比较这些方法与心脏外科手术患者的跨食道心声学 (TEE) 指导.
主要方法:
- 97名成年心脏手术患者接受了实时超声波引导的右侧IJV导管治疗.
- 转食管回声心脏图 (TEE) 引导放置在上静脉腔-右心房 (SVC-RA) 交叉处作为参考标准.
- 评估了外部和放射学里程碑方法与TEE的准确性,可靠性和一致性.
主要成果:
- 与放射学基准方法 (68%,p < 0.001) 相比,外部基准方法的准确性更高 (91.8%).
- 外部标志显示与TEE的相关性更强 (r=0.83),而不是放射性标志 (r=0.67).
- 布兰德-阿尔特曼分析表明,对外界地标方法 (平均差异0.08厘米) 和放射性地标方法 (平均差异0.43厘米) 的一致性更好.
结论:
- 外部里程碑方法是一种可靠和简单的技术,用于估计右IJV导管深度.
- 这种方法在心脏外科手术的背景下比放射学里程碑式方法更有效.
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