Applicability of ultrasound guide venipuncture in contrast-enhanced CT examinations of obese children
ZHANG Ying1,ZHNAG Wei1,ZHOU Yan1,and LI Dongmei2
1.Department of Intervention Center, Beijing Jishuitan Hospital, Beijing 100035, China; 2. Department of Neurosurgery, General Hospital of Chinese People’s Armed Police Force, Beijing 100039, China
Abstract：Objective To explore the clinical effect and advantages of the ultrasound-guided arterial puncture needle in the puncture tube of the median cubital vein of obese children.Methods Sixty children aged 5 to 14 with a weight index of BMI>24 and to be treated via the puncture tube in the median cubital vein in the Department of Orthopedics for Children between December 2013 and October 2015 were selected and randomly divided into the traditional method group (TM group, n=30) and the ultrasound-guided group (US group, n=30) according to the random number table generated by the computer. The time taken to prepare for the puncture, the time taken to insert the puncture tube, the total time, needle insertion times and success rate, the time after the successful tube insertion,the time the children left the operating room, and the occurrence of complications 24 h after operation were observed and recorded.24 h after operation, a follow-up was conducted to inquire about patients’ satisfaction with the surgery.Results The US group took a longer time to get ready for the puncture tube (TM group 1.9±0.7 min vs 3.4±0.7 min, P<0.01), but took much less time to insert the puncture tube than the TM group (TM group 3.8±4.9 min vs US group 1.4±0.5min, P=0.041).There was no statistically significant difference of the total operation time between the two groups of patients (P=0.422). The number of needle insertion was one in the US group,which was obviously smaller than that of TM group (TM group 2.0±1.8 times vs US group 1.0±0.0 times, P=0.028), but there was no statistically significant difference in the success rate,compliance and degree of satisfaction between the two groups (P=0.487).Conclusions The median cubital vein puncture with the guidance of ultrasound is safe and reliable, which can shorten the puncture time, reduce the times of repeated needle insertion, improve the success rate and prevent complications.
Palepu G B, Deven J, Subrahmanyam M, et al. Impact of ultrasonography on central venous catheter insertion in intensivecare[J]. Indian J Radiol Imaging, 2009, 19(3): 191-198.
Stolz L A, Stolz U, Howe C,et al.Ultrasound-guided peripheral venous access: a meta-analysis and systematic review[J]. J Vasc Access . 2015 (4):321-326
2017, Vol. 28 
