实时超声波导向胸部外周置位:说明技术,并报告前性观察研究
Karuna Sutthibenjakul1, Jatuporn Pakpirom1, Sirikarn Siripruekpong1
1Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Journal of perioperative practice
|January 17, 2025
概括
实时超声波指导显著提高胸部外周支架安置成功率. 这种技术提高了程序的效率,减少了并发症,使其成为临床医生的宝贵工具.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 胸腔外周置位是胸腔和腹部外科手术中的关键手术.
- 提高胸部外周支架安置的成功率和安全性是一个持续的临床挑战.
研究的目的:
- 评估实时超声波指导胸部外围注射针放置的可行性.
- 评估超声波指导对成功率,程序时间和准确性的影响.
主要方法:
- 一项前性观察性研究,涉及20名接受选择性胸部或腹部手术的患者.
- 实时超声波被用来指导胸部外周周位置于患者侧侧位置.
- 关键指标包括成功率,手术时间和估计和实际外周内腔深度之间的相关性.
主要成果:
- 在90%的患者 (18/20) 中,胸腔外周插入成功.
- 在66.7%的病例中,在第一次尝试时成功插入了导管.
- 在超声波估计和实际外周周深之间观察到强烈的相关性 (0.81).
结论:
- 实时超声波指导是一种可行的,有效的方法,用于胸部外周插位.
- 超声指导提高了成功率,并可能减少程序并发症.
- 这种技术为改善胸部外周止痛提供了有价值的辅助.
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