European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access)
European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access)
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DOI：
10.1097/eja.0000000000001180
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发表时间：
2020-05-01
影响因子：
3.6
通讯作者：
Hopkins, Philip
中科院分区：
文献类型：
--
作者：
Lamperti, Massimo;Biasucci, Daniele Guerino;Hopkins, Philip
用于诊断和手术目的的超声正在成为日常临床实践的标准，包括麻醉学和围手术期医学。欧洲麻醉学会（ESA）工作组制定超声围手术期使用（PERSEUS）项目临床指南的项目重点关注超声在两个领域的使用，这两个领域占手术室常规手术的大多数：血管通路和区域麻醉。鉴于这两个领域的大量文献，本文将重点介绍超声引导血管通路的使用。第二部分将专门介绍周围神经/轴神经阻滞。工作组确定了超声引导血管插管的三个主要应用领域：成人、儿童和培训。文献检索由来自科克伦麻醉和危重病与急诊组的专业图书馆员与ESA工作组合作进行。使用推荐分级评估（GRADE）系统评估证据等级和推荐等级。对于颈内静脉、股静脉和动脉穿刺的超声引导插管，证据等级为1B。至于其他渠道，证据仍然有限。关于超声引导培训，没有研究。必须强调在进行任何超声引导血管手术之前进行适当培训以达到能力和完全熟练的重要性。
Ultrasound for diagnostic and procedural purposes is becoming a standard in daily clinical practice including anaesthesiology and peri-operative medicine. The project of European Society of Anaesthesiology (ESA) Task Force for the development of clinical guidelines on the PERioperative uSE of Ultra-Sound (PERSEUS) project has focused on the use of ultrasound in two areas that account for the majority of procedures performed routinely in the operating room: vascular access and regional anaesthesia. Given the extensive literature available in these two areas, this paper will focus on the use of ultrasound-guidance for vascular access. A second part will be dedicated to peripheral nerve/neuraxial blocks. The Taskforce identified three main domains of application in ultrasound-guided vascular cannulation: adults, children and training. The literature search were performed by a professional librarian from the Cochrane Anaesthesia and Critical and Emergency Care Group in collaboration with the ESA Taskforce. The Grading of Recommendation Assessment (GRADE) system for assessing levels of evidence and grade of recommendations were used. For the use of ultrasound-guided cannulation of the internal jugular vein, femoral vein and arterial access, the level evidence was classified 1B. For other accesses, the evidence remains limited. For training in ultrasound guidance, there were no studies. The importance of proper training for achieving competency and full proficiency before performing any ultrasound-guided vascular procedure must be emphasised.