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首页> 外文期刊>Pediatric Cardiology >Prospective Analysis of Percutaneous Central Venous Catheterization in Infants <4.0 kg Undergoing Cardiac Surgery
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Prospective Analysis of Percutaneous Central Venous Catheterization in Infants <4.0 kg Undergoing Cardiac Surgery

机译：＜4.0 kg婴儿接受心脏手术的经皮中心静脉导管术的前瞻性分析

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摘要

Our previous study showed that the success rate of cannulation of the internal jugular vein (IJV) was significantly decreased in infants weighing less than 4.0 kg. We prospectively evaluated results of central venous catheterization in 101 infants weighing less than 4.0 kg undergoing cardiac surgery. The first attempt was routinely performed on the right IJV. If the first attempt failed, the anesthesiologist was free to choose the cannulation site. We examined the effects of patient weight and the experience of the anesthesiologist on successful central catheterization and efficacy of the external jugular vein (EJV) if the first attempt failed. The first right IJV cannulation was successful in 53 infants (52.5%) and the overall successful catheterization rate was 82.2%. Success rates of cannulation of the right IJV, left IJV, and EJV were 64, 13, and 6%, respectively. Body weight contributed significantly to successful catheterization, but the experience of the anesthesiologist did not. These results suggest that EJV cannulation improves the successful central catheterization in infants weighing less than 4.0 kg if IJV cannulation fails. Body weight of an infant, but not the experience of the anesthesiologist, contributed to successful catheterization in this patient population.
机译：我们先前的研究表明，体重小于4.0千克的婴儿颈内静脉插管成功率显着降低。我们前瞻性评估了接受心脏手术的101例体重小于4.0 kg的婴儿中心静脉导管插入的结果。第一次尝试通常是在正确的IJV上进行的。如果第一次尝试失败，麻醉医生可以自由选择插管部位。如果首次尝试失败，我们将检查患者体重和麻醉师经验对成功进行中央导管插入术和颈外静脉（EJV）疗效的影响。首例右IJV插管成功治疗了53例婴儿（52.5％），总的成功导管插入率为82.2％。右IJV，左IJV和EJV插管成功率分别为64、13和6％。体重对成功进行导管插入做出了重要贡献，但是麻醉医师的经验却没有。这些结果表明，如果IJV插管失败，EJV插管可改善体重小于4.0 kg的婴儿成功的中央导管插入。婴儿的体重，而不是麻醉医师的经验，促成该患者群体成功的导管插入术。

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  • 来源
    《Pediatric Cardiology》 |2004年第5期|503-505|共3页
  • 作者

    T. Iwasaki; Y. Hayashi; Y. Ohnishi; M. Kuro;

  • 作者单位

    Department of Anesthesiology National Cardiovascular Center 5-7-1 Fujishiro-dai Suita Osaka 565-0873;

    Department of Anesthesiology Osaka University Faculty of Medicine (D-7) 2-2 Yamada-oka Suita Osaka 565-0871;

    Department of Anesthesiology National Cardiovascular Center 5-7-1 Fujishiro-dai Suita Osaka 565-0873;

    Department of Anesthesiology National Cardiovascular Center 5-7-1 Fujishiro-dai Suita Osaka 565-0873;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Veins; Jugular; Central venous catheterization;

    机译：静脉;颈静脉;中央静脉导管插入术;

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