Feasibility of ultrasound-guided short axis out-of-plane combined with long axis in-plane method for femoral vein catheterization in children
Objective To explore the practical effect of ultrasound-guided short axis out-of-plane combined with long axis in-plane method for femoral vein catheterization in children.Methods 40 children undergoing elective cardiac thoracotomy,atrioventricular defect repair and minimally invasive interventional occlusion were divided into a control group and a study group according to random number table method,with 20 cases in each group.The control group received short axis out-of-plane method for femoral vein catheterization,and the study group received short axis out-of-plane combined with long axis in-plane method for femoral vein catheterization.The success rates of the first puncture,the total duration of puncture and catheterization,and the occurrence of complications were compared between the two groups.Results Both groups of children completed ultrasound-guided femoral vein catheterization.The success rate of the first puncture in the study group was 85%,which was higher than that of 55%in the control group,and the difference was statisticallly significant(P<0.05).The total duration of puncture and catheterization in the study group was(312±17)s,which was significantly longer than that of(483±27)s in the control group,and the difference was statisticallly significant(P<0.05).The incidence of hematoma of 5%in the study group was lower than that of 20%in the control group,and the difference was statistically significant(P<0.05).No accidental femoral artery puncture occurred in the two groups(P>0.05).Conclusion Ultrasound-guided short axis out-of-plane combined with long axis in-plane method in femoral vein catheterization in children has high success rates of the first puncture and catheterization,shortened puncture time,and low incidence of hematoma,which is worth popularizing.
NETL
NSTL
万方数据
维普
