The use of central venous cannulae in neuroanaesthesia
The use of central venous cannulae in neuroanaesthesia
复制标题
中心静脉插管在神经麻醉中的应用
作者：
S. J. Mills;A. A. Tomlinson
向神经麻醉学会的所有英国顾问成员发送了一份邮寄问卷，以确定在选择性神经麻醉实践中使用中心静脉插管的适应症和插入路线是否有任何共识。五个简单的临床情景被提出。在179名受访者中，98%的人表示他们会在需要切除坐位听神经瘤的患者中插入中心静脉插管，76%的人表示会夹闭颅内动脉瘤，75%的人表示会切除动静脉畸形。前肘窝是43.5%的受访者首选的置入途径，36.5%的受访者倾向于颈内静脉入路。锁骨下入路(17%)和股骨入路(3%)是不受欢迎的首选入路。相当大比例的受访者(43.5%)在手术前中心静脉插管后的任何阶段都不会例行进行胸部X光检查。参考神经麻醉实践，讨论了每种插入途径的使用适应症和优缺点。
A postal questionnaire was sent to all UK consultant members of the Neuroanaesthesia Society to ascertain whether there was any consensus on indications for use and route of insertion of central venous cannulae in elective neuroanaesthetic practice. Five brief clinical scenarios were presented. Of 179 respondents, 98% indicated that they would insert a central venous cannula into patients requiring excision of an acoustic neuroma in the sitting position, 76% for clipping of an intracranial aneurysm and 75% for resection of an arteriovenous malformation. The antecubital fossa was the preferred route of insertion for 43.5% of respondents with 36.5% preferring the internal jugular approach. The subclavian (17%) and femoral (3%) routes were unpopular first‐choice approaches. A significant proportion of respondents (43.5%) do not routinely order a chest X‐ray at any stage following pre‐operative central venous cannulation. The indications for use and advantages and disadvantages of each route of insertion, with reference to neuro‐anaesthetic practice, are discussed.
影响因子：
8.8
作者：
Randolph, AG;Cook, DJ;Pribble, CG
通讯作者：
Pribble, CG