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외과환자에서 시행된 침상옆 초음파 이용 시술 경험

Other Titles
 Single Center Experience of Ultrasonography-guided Bedside Procedures for Surgical Patients 
Authors
 Dooreh Kim  ;  Dae Hyun Cho  ;  Yun Tae Jung  ;  Jae Gil Lee 
Citation
 Journal of Surgical Ultrasound, Vol.5(2) : 61-65, 2018 
Journal Title
Journal of Surgical Ultrasound
Issue Date
2018
Keywords
Ultrasonography ; Procedure ; Complication
Abstract
Purpose: Ultrasound guidance for bedside procedures reduces the risk of complications. This e aim of this study is to stateexamined the experiences of the ultrasonography-guided bedside procedures performed by surgeons in the intensive care unit. Methods: Patients who underwent ultrasonography-guided bedside procedures from October 2016 to October 2017 were reviewed retrospectively. The baseline characteristics of the population, procedures performed, occurrence of complications, and coagulation-related parameters were obtained from the electronic medical records. Results: A total 113 procedures were collected and analyzed. The most frequently performed procedure was ultrasonography-guided central venous catheterization (CVC) (75 cases, 66.4%), followed by thoracentesis (41 cases, 36.3%) and paracentesis (7 cases, 6.2 %). A total of five complications (4.4%) occurred after the procedures, three events after CVC insertion, and two events after thoracentesis. After CVC, two pneumothorax and one hemothorax occurred, which were managed by chest tube insertion. Two events after thoracentesis were a pneumothorax, which required chest tube insertion, and a combined tension-pneumothorax with a hemothorax, which required thoracoscopic surgery for bleeder ligation. Conclusion: Ultrasonography-guided bedside procedures are a simple and fast modality available for surgeons. Despite the safety of ultrasonography-guided procedure, there is some concern regarding the development of complications
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Jung, Yun Tae(정윤태)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/166772
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