Ultrazvučno vođena kanulacija centralnih vena
Sažetak
Kanulacija velikih venskih krvnih sudova predstavlja važan aspekt lečenja kritično obolelih pacijenata u smislu administracije tečnosti, lekova, parenteralne prehrane i za svrhu monitoringa. Konvencionalna tehnika koja koristi površnu anatomiju i palpaciju kako bi se identifikovali veliki krvni sudovi pre kanulacije se bazira na predpostavljenoj lokalizaciji krvnih sudova, identifikaciji anatomskih obeležja na koži, i slepoj inserciji igle do trenutka aspiracije krvi. Ova tehnika je povezana sa većom verovatnoćom neuspeha, zahteva veći broj pokušaja i više komplikacija. Ultrazvučno vođeno plasiranje centralnih venskih katetera obezbeđuje veći procenat ukupne uspešnosti kao i uspešnosti prvog pokušaja kanulacije, brži vaskularni pristup, zadovoljstvo pacijenta i manje komplikacija.
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Reference
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