A Novel Skin-Traction Method Is Effective for Real-Time Ultrasound-Guided Internal Jugular Vein Catheterization in Infants and Neonates Weighing Less Than 5 Kilograms

A Novel Skin-Traction Method Is Effective for Real-Time Ultrasound-Guided Internal Jugular Vein Catheterization in Infants and Neonates Weighing Less Than 5 Kilograms
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DOI:
10.1213/ane.0b013e3181b01ae3
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发表时间:
2009-09-01
影响因子:
5.7
通讯作者:
Sobue, Kazuya
Sobue, Kazuya
中科院分区:
医学2区
文献类型:
--
作者:
Morita, Masato;Sasano, Hiroshi;Sobue, Kazuya

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背景技术背景:小儿颈内静脉置管有时很困难,因为静脉的尺寸很小,而且在置管过程中会塌陷。为了方便ITV导管插入术,我们开发了一种新的皮肤牵引法(STM),其中在导管插入术期间,用胶带将IJV上的皮肤穿刺点向上拉伸。在这项研究中,我们研究了STM是否增加了静脉的横截面积,从而有利于catheterization.METHODS:这是一项前瞻性研究,从2006年12月至2008年6月进行。我们连续招募了28名婴儿和新生儿,
BACKGROUND: Internal jugular vein (IJV) catheterization in pediatric patients is sometimes difficult because of the small sizes of veins and their collapse during catheterization. To facilitate ITV catheterization, we developed a novel skin-traction method (STM), in which the point of puncture of the skin over the IJV is stretched upward with tape during catheterization. In this study, we examined whether the STM increases the cross-sectional area of the vein and thus facilitates catheterization.METHODS: This was a prospective study conducted from December 2006 to June 2008. We enrolled 28 consecutive infants and neonates weighing