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相关概念视频

Assessment of apical pulse01:17

Assessment of apical pulse

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Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
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Assessment of apical radial pulse01:25

Assessment of apical radial pulse

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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
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Assessment of radial pulse01:11

Assessment of radial pulse

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Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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用于心脏起器下静脉穿刺的标准化程序.

Bing Ji1, Yu Mao1, Xue-Bo Liu1

  • 1Department of Cardiology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

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概括

用光镜引导的腹静脉穿刺用于心脏起器植入是可行的和安全的,成功受到患者解剖学 (如BMI和关节骨角) 的影响. 这种技术提供了一个可行的选择,特别是在资源有限的环境中.

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尾静脉的接入方式身体质量指数 (BMI) 是指身体质量指数.关节骨-第一个肋骨角.光镜指导的指导方法起器是一种心脏起器.在右前斜上.

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科学领域:

  • 心血管干预 心血管干预
  • 医疗成像医学成像
  • 解剖学研究 解剖学研究

背景情况:

  • 关静脉接入是用于心脏起器植入的下静脉接入的有希望的替代方案,可能降低感染风险并提高成功率.
  • 目前还没有用于光学引导下静脉穿刺的标准化方案.

研究的目的:

  • 评估一项简化光镜技术的可行性,用于腹静脉穿刺.
  • 为了确定手术成功的解剖学和临床预测因子为静脉接入.

主要方法:

  • 对178名接受心脏起器植入的患者进行了回顾性队列研究.
  • 通过光镜穿刺技术分层的患者:RAO 30°,尾部35°或静脉引导.
  • 对人口统计数据,并发症,吸烟状况和放射性参数 (关节骨下脂肪厚度,关节骨-第一个肋骨角) 的分析.

主要成果:

  • 94.9%的高成功率 (169/178) 在没有静脉检查的情况下进行尾静脉穿刺.
  • 成功的预测因素包括性别特异性解剖学,BMI≥23.84 kg/m2和关节骨-第一个肋骨角.
  • 低并发症率为1.69%,没有肺胸炎或脱落等严重事件.

结论:

  • 光学引导的静脉穿刺的成功取决于患者特定的解剖学 (性别,BMI,关节骨-第一个肋骨关系,吸烟状况).
  • 标准化协议在没有超声波的情况下证明了高效率和安全性,在资源有限的环境中证明有用.