新青年網(wǎng)絡(luò)公開(kāi)課第三講超聲引導(dǎo)中心靜脈穿刺置管的方法

專家課堂笫3期超聲引導(dǎo)中心靜脈穿刺置管的規(guī)范方法主講人：宋海波博士大學(xué)華西醫(yī)院麻醉科醫(yī)生中國(guó)麻醉醫(yī)師TEE推廣培訓(xùn)協(xié)作組召集人開(kāi)講時(shí)間20141115830PHaiboSong,AnesthesiologyDepartmentofWestHospitalChengduSichuan..

脈脈 （InternalJugular（Subclavian目前將患者在其發(fā)病過(guò)程中因?yàn)槟⊿ubclavian超聲實(shí)時(shí)引導(dǎo)的指征（建議試穿次數(shù)試穿時(shí)間體重≤10kg或體重指數(shù)大于AlanS.Graham,M.D.et.al.NEnglJMed

凸AAnewUltrasound-guidedArterialCannulationMethodinSeverTraumaImproveSuccessRateraumraumaImpprovoveRatateAAnenewUltratrasounoundggedArterteriaalCannulaannulatioonArterialcannulationmaybeverydifficultandtime-consuminginseveretraumapatientswithpalpationmethodduetoweakpulse.Complicationswererelatetomultipleattemptstocannulatetheartery.Thepurposeofthisstudywastoestablishanewarterycannulatemethodwithultrasoundguided,avoidingtraditionalgoingthroughpareultrasoundguidedversustraditionalpalpationcementofarteriallinesfortimetocement,numberofattempts,sitesused.severetraumaadultpatientsrequiringarterialcatheterinsertionforintraoperativemonitoring.Patientswererandomizedto2groups,group1usedultrasoundimagingtoguidingarterialusedforstatisticalysis.Inourstudy,weestablishanewultrasoundguidencemethodforarterycannulatebyusingasaline-filledballoon.Theimagequalityoftheradialarteryandarterylinewasimproved.26adultpatientswereenrolledinourstudy,ultrasound-guidedcannulatewassuccessinallpatientsofGroup1comparedtoonly10of13(76.9%)patientsinGroup2;allthepatientsofGroup1selectedradialarteryforcannulation,InGroup2radial,brachialorfemoralarterywereselected.Fewerattemptswiththeultrasoundguidengcewererequiredthanwiththetraditionaltechnique(14vs24,

Inthisstudy,anewultrasoundguidencemethodforarterycannulatewasestablished,ultrasoundimageofradialarteryandarterylinewasimprovedbyasaline-filledballoon(figure1,2).Comparedwiththepalpationmethod,thesuccessrateofultrasoundguidanceforarterialcannulationwashigher.Arteriallineinsertiontooklesstimeinultrasoundguidencegroup.Severtraumapatientcouldsharebenifitfromuoundguidencearterycannulate. 垂直下壓；Advection水平移動(dòng)；Rotation繞軸轉(zhuǎn)動(dòng)；Tilt

XINCHUANWEIMD,WEIWEIMD,YULIMD Arandomized-controlledstudyofultrasoundprelocationvsanatomicallandmark-guidedcannulationoftheinternaljugularveinininfantsandchildrenPediatricAnesthesia 2005Volume15,Issue9,733–738SusanT.Verghese,M.D.,WillisA.McGill,M.D.,RameshI. ,M.D.,et,alguidedInternalJugularVenousCannulationin

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動(dòng)靜脈間距增大原因-J.Inamasu,B.H.GuiotIatrogenicvertebralarteryinjury.ActaNeurolScand2005:112:349–357Whileexperiencedoperatorsusingsurfaceanatomiclandmarksalonecanachievearelativelyhighsuccessratewithfewcomplications,ourdepartmentnowrequiresallanesthesiologistto"look"withultrasoundbeforeattemptingcentralvenouscannulation.Thisseemsespeciallyimportantinchildrenandotherhighrisksituationsaspatientswithag2008;107:347-g2008;107:347-

大 Newland,MCetal;Anesthestic-relatedCardiacArrestandItsAReportCovering72,959Anestheticsover10YearsfromaUSTeachingHospitalAnesthesiology:2002（97）1.108-115100908070605040302010專家課堂笫7期降低中心靜脈置管并發(fā)癥(ASA年會(huì)講課主講人 博路易斯維爾猶太醫(yī)院心胸麻醉路易斯維爾大學(xué)臨床心臟超 高級(jí)專業(yè)人開(kāi)講時(shí)間20141213830P

名yyT.McGrattan，AsurveyoftheuseofultrasoundguidanceinjugularvenouscannulationAnaesthesiaAmorbidlyobese66-yr-oldman(BodyMAAndreaJ.Parsons,MDCarotidDissection:AComplicationofInternalJugularVeinCannulationwiththeUseofUltrasoundAnesthA HarrisN,HodzovicI.Ultrasoundforcentralvenous--areyoutrainedtouseit?Anaesthesia.2009Apr;64(4):450- PointPointofCare手腳手腳Pointof手腳 CurrOpinAnaesthesiol.2012Oct17[EpubaheadofCurrOpinAnaesthesiol.20122015華西麻醉和重癥醫(yī)學(xué)第六屆華西可視化技術(shù)在麻醉鎮(zhèn)痛與危重急救中的應(yīng)用大會(huì)年月 日中國(guó)．負(fù)責(zé)老師：李琦86-負(fù)責(zé)老師：86-

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