有创动脉监测的并发症(国外英文资料).docVIP

有创动脉监测的并发症 (1) thromboembolism Thromboembolism caused by the catheter in the radial artery is the most serious complication. The radial artery is the most commonly used puncture site for arterial intubation. Most cases report the occurrence of thromboembolic thromboembolism after the radial artery intubation, which occurs when the blood flow is low in low blood volume or the application of alpha-adrenalin can excite the agent. (1) there is currently no clear test of the lateral branch to predict whether the distal limb is missing. The Allen experiment was widely used. The Allen experiment did not specify how long the length of the foot artery should be released after the hand was flushed. Bedford thinks that 15 seconds is too long and 5 seconds is ideal. Allen for the unconscious or not cooperation patients are difficult to test, but can choose the method of evaluation of other collateral circulation, such as a finger pressure radial artery to temporarily closed, then use ultrasonic probe hand reverse blood flow. The pulse oximeter can evaluate the case of thumb pulsating blood flow qualitatively in the case of a blockage or radial artery. The other method is the compression of the finger to block the arterial pulsation that can be seen in the distal artery of the aorta after the radial artery is blocked. If the arterial pulsation is not possible, the other arteries or the other side of the hand are recommended. If the lateral branch is satisfactory, use the non-dominant hand line radial artery intubation. (2) the incidence of thrombosis caused by the thrombosis of the radial catheter was associated with the time of the catheter and the percentage of the catheter in the vascular cavity. As a result, the female artery is usually thinner than the male, with a higher incidence of arterial occlusion after the artery intubation. Weiss and Gattiker think that the circumference of the circumference of the 20G catheter is the lower limit of safety; In fine wrist, the radia