Аннотация
Актуальность. Хорошо известно, что малый просвет любого сосуда затрудняет его катетеризацию. Инвазивные манипуляции сегодня рекомендуется осуществлять под ультразвуковым контролем по соображениям их безопасности и эффективности. При катетеризации подключичной вены, однако, ультразвук не повышает эффективности процедуры по данным шести метаанализов.
Цель исследования. Продемонстрировать эффективность катетеризации подмышечной вены малого размера под ультразвуковым контролем.
Материалы и методы. Проведена катетеризация подмышечной вены малого диаметра под контролем ультразвука по модифицированной методике у 12 пациентов.
Результаты. Процедура была успешна с первой пункции кожи и вены без изменения направления иглы в 11 из 12 наблюдений, среднее время до введения проводника составило 171 ± 6 с. Осложнений отмечено не было.
Заключение. Предлагаемый вариант методики эффективен при малом диаметре подмышечной вены и может быть внедрен в клиническую практику.
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