在PICC插入中使用斜轴视图与内平面静脉穿刺:一个案例报告
Marco Simone1, Cristiana Reverberi2, Silvia Cavalli3
1Department of Surgery, University Hospital of Parma, Parma, Italy.
The journal of vascular access
|August 1, 2025
概括
这项研究引入了一种新的超声波技术,用于在困难的解剖学中放置外围插入的中央导管 (PICC). 它结合了平面内斜轴引导与伪道,以实现更安全,更精确的PICC插入.
科学领域:
- 血管接入程序 血管接入程序
- 医学超声波应用 医学超声波应用
- 干预性放射学 干预性放射学
背景情况:
- 周围插入的中央导管 (PICC) 对于长期的静脉接入至关重要,但由于挑战患者解剖学,放置通常是复杂的.
- 当目标静脉靠近动脉和神经等关键结构时,或当最佳的出口位位置困难时,标准插入技术可能不足.
研究的目的:
- 介绍一种新的技术,将平面斜轴超声指导与伪道结合起来,用于在复杂的解剖场景中插入PICC.
- 证明这种方法的可行性和安全性,以实现适当的导管至静脉比率和最佳的出口部位放置.
主要方法:
- 利用平面斜轴超声波方法实时可视化针的轨迹和周围的神经血管结构.
- 采用伪道技术创建皮下道,允许将导管出口部位迁移到更有利的"绿色区域".
- 通过一个临床案例描述了该程序,该病例涉及一位在腔附近具有挑战性的目标静脉位置的患者.
主要成果:
- 尽管有解剖学上的限制,但成功地实现了目标静脉的安全和准确的管.
- 证明了创建伪道以获得最佳出口位置的能力.
- 在一个复杂的案例中验证了飞机内斜轴超声波和伪道技术的有效性.
结论:
- 合并的平面斜轴超声指导和伪道技术是PICC在具有挑战性的解剖情况中插入的可行和安全方法.
- 这种方法提高了实现最佳导管至静脉比率和适当的出口部位放置的能力,改善了患者的治疗结果.
- 这种新的技术为复杂的血管接入程序提供了有价值的替代方案,在这些过程中,标准方法是不够的.
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
314
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
314
01:29Endocarditis IV: Nursing Management
31
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
31
01:26Endoscopic Studies II: Thoracocentesis
515
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
515