PDF(Pubmed)
Abstract：
Radial artery is mostly used for arterial cannulation because of its location, collateral circulation, and less complications. Dorsalis pedis artery can be an alternative for arterial cannulation in difficult radial or brachial arteries cannulation situations as it is mostly overlooked. We present a case of a 45-year-old female planned for supratentorial craniotomy for excision of meningioma. After induction of anesthesia, the invasive access couldn\'t be attained after multiple attempts under ultrasound guidance by five senior anesthesiologists. The surgery was abandoned, and the patient awakened. The case was rescheduled after 2 days. The new anesthesia team attained the arterial access in the right dorsalis pedis artery and the central venous access in the right internal jugular vein in the first attempt. No complications were noted post-operatively. The dorsalis pedis artery can be safely used for arterial cannulation when radial artery cannulation is not possible.
摘要：
桡动脉主要用于动脉插管，因为它的位置，侧支循环,更少的并发症。在困难的桡动脉或肱动脉插管情况下，足背动脉可以替代动脉插管，因为它通常被忽视。我们介绍了一例45岁的女性，计划进行幕上开颅手术切除脑膜瘤。麻醉诱导后,五位资深麻醉医师在超声引导下多次尝试后，无法获得侵入性通路。手术被放弃了,病人醒了。该病例在2天后重新安排。新的麻醉小组在第一次尝试中获得了右足背动脉的动脉通路和右颈内静脉的中心静脉通路。术后未发现并发症。当无法进行桡动脉插管时，足背动脉可以安全地用于动脉插管。
