超声导向的关动脉管在关节内区域:一个逐步的方法
Ryszard Gawda1, Tomasz Czarnik
1Department of Anesthesiology and Intensive Care, Institute of Medical Sciences, University of Opole, Opole, Poland.
The journal of vascular access
|May 2, 2025
概括
超声导向的脑内关节动脉通道为危急病患者提供了安全的替代方案,用于在辐射动脉无法进入时放置动脉导管. 这种技术比大腿管道提供了优势,包括避免动脉样硬化和减少感染风险.
科学领域:
- 关键护理医学 关键护理医学
- 血管接入程序 血管接入程序
- 医疗成像医学成像
背景情况:
- 穿皮动脉管对于重症监护中的血液动力学监测至关重要.
- 由于患者的病情,如休克或动脉样硬化,射线动脉的访问可能具有挑战性.
- 当辐射通道失败时,可以考虑像股骨或骨动脉这样的替代部位.
研究的目的:
- 描述了超声波引导的实时超关节关节动脉管技术.
- 为了突出关动脉管治疗的优点,而不是大腿动脉管治疗.
- 审查该程序的说明,禁忌,限制和潜在的陷.
主要方法:
- 超声波导向的骨内关节动脉管的详细一步一步描述.
- 实时成像指导用于精确的导管放置.
- 对临床情景和解剖学的考虑进行审查.
主要成果:
- 内关节关关动脉方法为动脉导管治疗提供了一个可行的替代方案.
- 这种方法提供了诸如避免患病动脉和增强微生物安全等好处.
- 这种技术对于需要侵入性监测的危急病患者来说是可行的.
结论:
- 超声导向的脑内关节动脉管是一种有效且安全的动脉导管安置技术.
- 当标准的辐射动脉通道无法实现时,它是一个有价值的替代方案.
- 了解该技术的细微差别对于成功实施和患者安全至关重要.
相关概念视频
01:14Assessing Body Temperature - Axilla
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
01:17Assessment of apical pulse
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
01:25Assessment of apical radial pulse
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.
Pre-Procedural Preparation
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.
Pre-Procedural Preparation
01:15Assessment of blood pressure in brachial artery(one-step method)
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
01:12Arteries of the Upper Limbs
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...