【medical-news】超声可以用于辅助颈静脉插管

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Ultrasound aids jugular ein catheterization
12/4/2006
By: Reuters Health

NEW YORK (Reuters Health), Dec 4 - Emergency department use of real-time ultrasonographic guidance of internal jugular ein catheterization reduces complications and improes success rates, according to Australian researchers.
Compared to a blind approach, lead inestigator Dr. Julie Leung told Reuters Health, "real-time ultrasound guided placement of lines is clearly more successful and safer." Furthermore, "the technique is easily learned."

To ealuate the approach, Dr. Leung and colleagues at St. incent's Hospital, Sydney, conducted a study in 130 patients in whom central enous access was required.

They were randomized to internal jugular ein catheterization using ultrasonography or the traditional landmark technique. Operators were emergency physicians or postgraduate trainees. Before participation, all spent a minimum of two hours in educational session coering the procedures.

Cannulation using ultrasound was successful in 61 of 65 patients (93.9%) compared with 51 of the 65 (78.5%) who had placement with the landmark approach. The first attempt was successful in 82.0% of the ultrasonography patients and 70.6% of the landmark group.

Mean times to enipuncture and successful insertion were similar in both groups. Howeer, there were only three complications (4.6%) in the ultrasonography group compared with 11 (16.9%) in landmark patients.

Gien the success of the approach, the researchers conclude that in emergency departments with the appropriate equipment, "ultrasonographically guided insertion of internal jugular ein catheters should become the standard of care."

Last Updated: 2006-12-01 15:11:24 -0400 (Reuters Health)

Ann Emerg Med 2006;48:540-547.

本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。

NEW YORK (Reuters Health), Dec 4 - Emergency department use of real-time ultrasonographic guidance of internal jugular ein catheterization reduces complications and improes success rates, according to Australian researchers.
Compared to a blind approach, lead inestigator Dr. Julie Leung told Reuters Health, "real-time ultrasound guided placement of lines is clearly more successful and safer." Furthermore, "the technique is easily learned."
纽约（路透社）12月4日-根据澳大利亚研究人员的报道，颈静脉插管急诊实时超声引导可减少并发症，提高成功率。主要研究人员Julie Leung告诉路透社记者：与盲穿相比，“实时超声引导插管明显更成功，更安全。而且插管技术也容易学”
To ealuate the approach, Dr. Leung and colleagues at St. incent's Hospital, Sydney, conducted a study in 130 patients in whom central enous access was required.
为了评价插管技术，悉尼St. incen医院Leung博士及其同事，对需要中央静脉置管的130名患者进行了研究。
They were randomized to internal jugular ein catheterization using ultrasonography or the traditional landmark technique. Operators were emergency physicians or postgraduate trainees. Before participation, all spent a minimum of two hours in educational session coering the procedures.
患者被随机依靠超声或传统的骨性标志进行颈静脉插管，术者为急诊内科医生或实习研究生。在参与之前，所有人员均参加了至少3小时覆盖插管全过程的教育培训。
Cannulation using ultrasound was successful in 61 of 65 patients (93.9%) compared with 51 of the 65 (78.5%) who had placement with the landmark approach. The first attempt was successful in 82.0% of the ultrasonography patients and 70.6% of the landmark group.一次成功的，超声插管为82%，骨性标志插管的为70.6%。
运用超声的套管插管术65例成功61例（成功率为93.9%），使用骨性标志插管的65例成功51例（成功率为78.5%），
Mean times to enipuncture and successful insertion were similar in both groups. Howeer, there were only three complications (4.6%) in the ultrasonography group compared with 11 (16.9%) in landmark patients.
穿刺和成功置管平均时间两组相似。不过，超声置管组中只有3例出现并发症（4.6%），对照组有11例（16.9）。
Gien the success of the approach, the researchers conclude that in emergency departments with the appropriate equipment, "ultrasonographically guided insertion of internal jugular ein catheters should become the standard of care."
考虑到超声置管的成功性，研究人员总结认为，配备相当设备的急诊科，“超声引导下的颈静脉插管应该成为置管的标准方法。”

编译
路透社纽约12月4日消息，-根据澳大利亚研究人员的报道，急诊实时超声引导下颈静脉插管可减少并发症，提高成功率。
主要研究人员-悉尼St. incen医院Julie Leung博士告诉路透社记者：与盲穿相比，“实时超声引导下插管成功率更高，安全性更好，而且插管技术也容易掌握”。
为了评价插管技术， Leung博士及其同事，对需要中央静脉置管的130名患者进行了研究。患者被随机分为依靠超声或传统的骨性标志进行颈静脉插管。术者为急诊内科医生或实习研究生。在参与之前，所有人员均参加了至少3小时覆盖插管全过程的教育培训。
运用超声插管的65例成功61例（成功率为93.9%），使用骨性标志插管的65例成功51例（成功率为78.5%）。成功置管平均时间两组相似。不过，超声置管组中只有3例出现并发症（4.6%），对照组有11例（16.9）。
研究人员总结认为，配备相当设备的急诊科，“超声引导下的颈静脉插管应该成为置管的标准方法。”