Ali Çebişli, Nezihat Rana Dişel, Ömer Taşkın, Ayça Açıkalın Akpınar, Ahmet Sebe
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引用次数: 0
摘要
本研究旨在探讨中心静脉导管插入术(CVC)前对中心静脉结构进行静态超声波(US)检查的效果以及手术的成功率。在这项前瞻性研究中,急诊科(ED)中接受 CVC 的患者被分为两组:使用解剖地标技术接受 CVC 的患者(34 人)和使用静态 US 检查接受 CVC 的患者(33 人)。两组患者的手术时间、成功率和使用的导管数量进行了比较。研究共纳入了 67 名接受 CVC 手术的患者。与解剖地标技术相比,静态 US 检查的手术成功率更高(P = .001),总介入次数更少(P = .001),术后导管功能障碍更少(P = .048)。虽然各组之间的 CVC 持续时间没有差异 ( P = .222),但使用静态 US 检查所花费的总时间更长 ( P = .022)。静态 US 检查是一种实用、易于应用的方法,可用于急诊室的 CVC 置放。这项研究表明,超声波检查在 CVC 手术中的成功率很高,并有助于减少介入治疗和导管使用的次数。
Static Ultrasonographic Assessment for Central Venous Catheterization Reduces Catheter Dysfunction in the Emergency Department
This study aimed to investigate the effect of a static ultrasonographic (US) examination of the central venous structures before central venous catheterization (CVC) and the success of the procedure. In this prospective study, patients who underwent CVC, in an emergency department (ED), were divided into two groups: patients who underwent CVC using the anatomical landmark technique (n = 34) and patients who underwent CVC using a static US examination (n = 33). The procedure times, success rates, and number of catheters used were compared. A total of 67 patients who underwent CVC were included in the study. Compared with the anatomical landmark technique, the static US examination had a higher procedural success rate ( P = .001), fewer total interventions ( P = .001), and fewer postprocedural catheter dysfunctions ( P = .048). While there was no difference in the duration of the CVC between groups ( P = .222), the total time spent was longer using a static US examination ( P = .022). The static US examination was a practical, easy-to-apply method that could be used for CVC placement in an ED. This study demonstrated sonography had a high success rate in CVC procedures and contributed to a reduction in the number of interventions and catheters used.
期刊介绍:
The Journal of Diagnostic Medical Sonography (JDMS) is the official journal of the Society of Diagnostic Medical Sonography and publishes peer-reviewed manuscripts aimed at the translational use of ultrasound for diagnosis, intervention, and other clinical applications. The JDMS provides research, clinical, and educational content for all specialties including but not limited to abdominal, women’s health, pediatric, cardiovascular, and musculoskeletal sonography. The journal’s scope may also include research on instrumentation, physics, ergonomics, technical advancements, education, and professional issues in the field of sonography. Types of submissions accepted by the JDMS are Original Research, Literature Review, Case Studies, Symposia (related to education, policy, technology, or professional issues), and Letters to the Editor.