掌上无线超声引导桡动脉穿刺置管的护理配合  

Nursing cooperation in portable wireless ultrasound-guided radial artery catheterization

作　　者：刘心[1] 胡曼 李继 陈罡[2] Liu Xin;Hu Man;Li Ji;Chen Gang(The Operating Room,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院手术室,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院麻醉科,湖北武汉430030

出　　处：《护理学杂志》2023年第2期44-46,共3页Journal of Nursing Science

摘　　要：目的总结掌上无线超声引导桡动脉穿刺置管的护理配合要点。方法对51例患者采用掌上超声定位桡动脉穿刺置管,护理配合包括患者准备、仪器及耗材等准备,Allen试验评估,穿刺中配合医生摆放穿刺体位、进行桡动脉穿刺配合,穿刺后护理及常见并发症处理等。结果51例均完成置管,其中一次穿刺成功44例(86.28%),1例5次穿刺成功患者出现穿刺处血肿,其余患者未发生感染、血管痉挛、动脉血栓、神经损伤等并发症。结论高效、规范的护理配合可提高掌上无线超声引导桡动脉穿刺置管成功率,减少并发症。Objective To summarize the experiences of nursing cooperation in portable wireless ultrasound-guided radial artery catheterization.Methods A total of 51 patients received portable wireless ultrasound-guided radial artery catheterization.The experiences of nursing cooperation included patient preparation,preparation of instruments and consumables,performing the Allen test,placing body position for puncture,assisting the physician to insert the catheter,providing puncture site care,and preventing complications.Results All patients successfully received radial artery cannulation,with the first attempt success rate of 86.28%.One patient required five attempts and developed hematoma at the puncture site.The rest patients had no infections,vasospasm,atherothrombosis,nerve injury and other complications.Conclusion Efficient and standardized nursing cooperation can enhance the success rate of ultrasound-guided radial artery cannulation and reduce complications.

关 键 词：桡动脉 穿刺 动脉置管 掌上超声 ALLEN试验 血肿 并发症 麻醉护理 

分 类 号：R472.3[医药卫生—护理学]