置入喉罩对小儿颈内静脉穿刺置管术的影响被引量：1

导出

摘要颈内静脉解剖位置比较固定,穿刺部位体表标志易辨认,是小儿深静脉穿刺置管术的首选部位.喉罩属于声门上通气装置,其对气道刺激小,操作快捷、简单,广泛应用于临床.然而置入喉罩气囊充气后,导致颈内静脉和颈内动脉的毗邻关系改变,使得两者重叠覆盖程度增加,理论上增加了颈内静脉穿刺时误穿动脉的机率;且颈内静脉内腔由于喉罩挤压而变狭窄,理论上降低了颈内静脉穿刺置管术成功的机率[1-2].本研究拟评价置入喉罩对小儿颈内静脉穿刺置管术的影响.

作者王少超林晓莉

机构地区济南市儿童医院麻醉科济南市儿童医院急诊科

出处《中华麻醉学杂志》 CAS CSCD 北大核心 2015年第2期255-256,共2页 Chinese Journal of Anesthesiology

关键词颈内静脉穿刺置管术喉罩小儿置入深静脉穿刺置管术解剖位置体表标志穿刺部位

分类号 R726.1 [医药卫生—儿科]

引文网络
相关文献

参考文献3

1沈亮,陆志俊,俞颖,许婷,于布为.置入喉罩对患者双侧颈部血管位置的影响[J].中华麻醉学杂志,2009,29(2):190-191. 被引量：8
2马浩南,李恒林,李一.全麻患者喉罩通气下右颈内静脉穿刺位点的选择[J].中华麻醉学杂志,2010,30(2):239-241. 被引量：4
3Nagaraja RG, Wilson M, Wilson G, et al. The anatomic rela- tionship between the internal jugular vein and the carotid artery in children after laryngeal mask insertion. An uhrasonographic study [ J ]. Pediatric Anesthesia, 2011,21 ( 1 ) : 62-64.

二级参考文献9

1Takeyama K, Kobayashi H, Suzuki T. Optimal puncture site of the right internal jugular vein after laryngeal mask airway placement. Anesthesiology ,2005,103:1136-1141.
2Kihara S, Brlmacombe JR, Yaguchi Y, et al. A comparison of sex- and weight-based ProSeal laryngeal mask size selection criteria: a randomized study of healthy anesthetized, paralyzed adult patients. Anesthesiology, 2004,101:340-343.
3Hirai S, Nakamura R, Maekawa N. Alternative formula for laryngeal Mask Airway trade mark size selection . Anesthesiology ,2004,100:460.
4Lenoir RJ. Venous congestion of the neck; its relation to laryngeal mask cuff pressures. Br J Anaesth,2004,93:476-477.
5Kihara S,Brimacombe JR,Yaguchi Y,et al.A comparison of sexand weight-based Proseal laryngeal mask size selection criteria:a randomized study of healthy anesthetized,paralyzed adult patients.Anesthesiology,2004,101(2):340-343.
6Miller RD.米勒麻醉学.曾因明,邓小明,译.6版.北京:人民卫生出版社,2004:1644-1646.
7Takeyama K,Kobayashi H,Suzuki T.Optimal puncture site of the right internal jugular vein after laryngeal mask airway placement.Anesthesiology,2005,103(6):1136-1141.
8郭志荣等.切迹法行右颈内静脉穿刺[J].临床麻醉学杂志,2000,16(1):17-17.
9钱克俭,周爱云,马龙先,陈世彪,王宗朝,赵为禄.颈内静脉的影像学调查及颈总动脉旁颈内静脉穿刺法的研究[J].中华急诊医学杂志,2003,12(5):319-321. 被引量：27