In vs out of plane prikken - Intensivistenopleidingintensivistenopleiding.nl/downloads-25/files/In...
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In vs out of plane prikken
Ellemiek Koenders ANIOS IC
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Zonder vs met echo
Zonder MetArteriele punctie 5.9% 0.8%Hematoom 6.6% 1.2%Succes rate 78.9% 89%Succes rate 1st time 48.37% 85%
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Complicaties• Arteriele punctie• Hematoom• Hematothorax• Pneumothorax
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In vs out of plane
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• 2 ervaren (>50 plaatsingen) anesthesisten
• In plane: beter zicht naaldtipmoeilijker in beeld te brengencarotis niet in beeld
• Out of plane: zicht op carotismakkelijker in beeld te brengen
• Conclusie: minder pogingen en minder carotis puncties met out of plane punctie.
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• 28 art-assistenten
• 2 puncties jugularis (op pop): in plane en out of plane.
• Posterior wall punction (PWP):In plane 21%, out of plane 25%
• Conclusie: In plane sneller, minder redirections. Mogelijk minder complicaties door minder PWP.
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• In planeBeter zicht op naaldpuntContinue zicht op naald en voerdraad positieZicht bij opschuiven voerdraadMinder fout gepositioneerde lijnen
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Gecombineerde schuine as
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Conclusie• Gecombineerd: schuine as.
Voordelen van zowel in als out of plane prikken.
• Zowel de a. carotis en de naaldtip in beeld.
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