文档介绍：超声引导下血管穿刺置管
华西麻醉宋海波 Haibo Song
Anesthesiology Department of West China Hospital
Seeing is Beliveing
精细操作
精细解剖
精确定位
超声是重要的可视化技术
颈内静脉、锁骨下静脉、股静脉置管发生各种并发症的风险
麻醉相关心脏骤停
Newland, MC et al; Anesthestic-related Cardiac Arrest and Its Mortality:
A Report Covering 72,959 Anesthetics over 10 Years from a US Teaching Hospital
Anesthesiology: 2002 (97)1. 108-115
日本北海道旭川医学院铃木章浩 Anesth Analg 2008; 107:347-348
While experienced operators using surface anatomic landmarks alone can
achieve a relatively high ess rate with plications,
our department now requires all anesthesiologist to "look" with ultrasound before attempting central venous cannulation.
This seems especially important in children and other high risk situations such as patients with a coagulopathy.
Complications contributed to internal jugular vein cannulation
Crit Care. 2006; 10(6): 175.
安全性
Susan T. Verghese, ., Willis A. McGill, ., Ramesh I. Patel, .,et,al Ultrasound-guided Internal Jugular Venous Cannulation in Infants Anesthesiology 1999; 91 71-77
超声方法与体表标志法的比较
XIN CHUAN WEI MD, WEI WEI MD, YU LI MD A randomized-controlled study of ultrasound prelocation vs anatomical landmark-guided cannulation of the internal jugular vein in infants and children Pediatric Anesthesia 2005 Volume 15, Issue 9, 733–738
CA
IJV
超声引导下血管穿刺置管
,MD,,MD,,MD Femoral Vein Cannulation Performed by Residents:parison Between Ultrasound-Guided andLandmarkTechnique in Infants and Children Under going Cardiac Surgery A&A 2010 .