胸前多普勒超声监测技术应用于坐位神经外科手术静脉空气栓塞的监测和处理

被引：4

作者：

马挺

蔡兵

徐娜

贾宾

魏立民

王克杰

机构：

[1] 北京市首都医科大学宣武医院麻醉科

来源：

临床麻醉学杂志 | 2008年 / 08期

关键词：

胸前多普勒超声; 静脉空气栓塞; 坐位;

D O I：

暂无

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

目的总结胸前多普勒超声在坐位神经外科手术中静脉空气栓塞监测的应用情况,评价胸前多普勒超声监测的作用和意义。方法39例ASAⅠ或Ⅱ级的患者,全身麻醉下行坐位神经外科手术,坐位固定后胸骨右缘或左缘3～6肋之间放置胸前多普勒超声,在手术过程中实时连续监测,记录术中胸前多普勒超声出现气栓信号的病例数和抽吸到气体的病例数,抽吸到的气体量,PETCO2下降的发生例数。结果39例手术患者中26例探及气栓信号,发生率66.7%,其中有24例抽吸到了气栓,抽吸到气栓总容积量为0.5～210ml;9例PETCO2下降超过5mmHg,4例下降超过10mmHg。结论坐位神经外科手术中胸前多普勒超声监测静脉空气栓塞高度敏感,可指导静脉空气栓塞的早期诊断和处理。

引用

页码：710 / 711

页数：2

共 10 条

[1] 中心静脉导管准确定位在坐位神经外科手术中的应用 [J].

马挺 ;

蔡兵 ;

兰飞 ;

魏立民 ;

王克杰 .

首都医科大学学报, 2007, (03) :409-411

[2] Intracardiac transvenous echocardiography is superior to both precordial Doppler and transesophageal echocardiography techniques for detecting venous air embolism and catheter-guided air aspiration [J].

Schaefer, Simon T. ;

Lindemann, Jochen ;

Brendt, Peter ;

Kaiser, Gernot ;

Peters, Juergen .

ANESTHESIA AND ANALGESIA, 2008, 106 (01) :45-54

[3] The accuracy of electrocardiogram-controlled central line placement [J].

Gebhard, Ralf E. ;

Szmuk, Peter ;

Pivalizza, Evan G. ;

Melnikov, Vladimir ;

Vogt, Christianne ;

Warters, Robert D. .

ANESTHESIA AND ANALGESIA, 2007, 104 (01) :65-70

[4] Precordial Doppler probe placement for optimal detection of venous air embolism during craniotomy [J].

Schubert, A ;

Deogaonkar, A ;

Drummond, JC .

ANESTHESIA AND ANALGESIA, 2006, 102 (05) :1543-1547

[5]

The Safety of Intraoperative Transesophageal Echocardiography: A Case Series of 7200 Cardiac Surgical Patients[J] . Ian J. Kallmeyer,Charles D. Collard,John A. Fox,Simon C. Body,Stanton K. Shernan.Anesthesia and Analgesia . 2001 (5)

[6]

Detection and Hemodynamic Consequences of Venous Air Embolism: Does Nitrous Oxide Make a Difference?[J] . Thomas J. Losasso,Susan Black,Donald A. Muzzi,John D. Michenfelder,Roy F. Cucchiara.Anesthesiology . 1992 (1)

[7]

Safety of Transesophageal Echocardiography: A Multicenter Survey of 10,419 Examinations[J] . Werner G. Daniel,Raimund Erbel,Wolfgang Kasper,Cees A. Visser,Rolf Engberding,George R. Sutherland,Eberhard Grube,Peter Hanrath,Bernhard Maisch,Karl Dennig,Michael Schartl,Peter Kremer,Christiane Angermann,Sabino Iliceto,Julius M. Curtius,Andreas MPgge.Circulation . 1991 (3)

[8] TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND TRANS-CUTANEOUS O-2 AND CO2 MONITORING FOR DETECTION OF VENOUS AIR-EMBOLISM [J].

GLENSKI, JA ;

CUCCHIARA, RF ;

MICHENFELDER, JD .

ANESTHESIOLOGY, 1986, 64 (05) :541-545

[9]

A Comparison of the Sensitivity of Pulmonary Artery Pressure, End-Tidal Carbon Dioxide, and End-Tidal Nitrogen in the Detection of Venous Air Embolism in the Dog[J] . John C. Drummond,Richard J. Prutow,Mark S. Scheller.Anesthesia & Analgesia . 1985 (7)

[10] ANALYSIS AND COMPARISON OF VENOUS AIR-EMBOLISM DETECTION METHODS [J].

CHANG, JL ;

ALBIN, MS ;

BUNEGIN, L ;

HUNG, TK .

NEUROSURGERY, 1980, 7 (02) :135-141

← 1 →