대퇴 중심정맥관 삽입을 위한 표면해부학적 위치와 대퇴 동맥 정맥의 관계 확인: 초음파를 이용한 전향적 연구Confirmation of the Relation between Femoral Artery and Vein for Central Venous Cannulation: A Prospective Investigation Using Ultrasound
- Other Titles
- Confirmation of the Relation between Femoral Artery and Vein for Central Venous Cannulation: A Prospective Investigation Using Ultrasound
- Authors
- 박연순; 김혜정; 이보라; 이경민; 신희준; 김호중; 김기운; 임훈; 조영순
- Issue Date
- 2017
- Publisher
- 대한응급의학회
- Keywords
- Catheterization; central venous; Femoral vein; Anatomic landmarks; Ultrasonography
- Citation
- 대한응급의학회지, v.28, no.4, pp.345 - 353
- Journal Title
- 대한응급의학회지
- Volume
- 28
- Number
- 4
- Start Page
- 345
- End Page
- 353
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8153
- ISSN
- 1226-4334
- Abstract
- Purpose: Femoral vein catheterization is often performed using a landmark technique, despite the recommended method of using ultrasound guidance. Although the landmark-based procedure is a well-known, widely adopted method to date, there are insufficient studies validating the effectiveness of this method. Hence, the purpose of this study was to confirm the relationship between femoral artery and vein using an ultrasound, as well as to validate the effectiveness of the femoral vein catheterization method using the landmark technique.
Methods: This was a prospective, repeated measurement study. Using an ultrasound with a 10 MHz transducer, the femoral vein cross-sectional areas on the right side were saved at a distance of 1, 2, 3, and 4 cm from the inguinal ligament with supine and hip abduction-external rotation positions. The width of the femoral vessels, center-to-center distance between the femoral artery and vein(horizontal distance between the center of the femoral artery and vein) and width of exposed femoral vein (not posterior to femoral artery) were measured.
Results: The width of the femoral vein, the center-to-center distance between the femoral artery and vein, as well as the width of the exposed femoral vein were significantly decreased as the distance from the inguinal ligament was increased, regardless of the posture change (p<0.001). However, at a distance of 1 cm from the inguinal ligament, only 5.4% of the femoral veins were exposed without disturbance of the femoral artery, and there were also a few cases in which the femoral veins were not exposed at all.
Conclusion: It appears that an ultrasound-guided femoral vein catheterization is recommended over the conventional landmark technique.
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Collections - College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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