Can thiệp dưới hướng dẫn siêu âm tại giường

(IIITHÍP 0ỚIHƯỚNG DÂN

SEU AM TAI GIUONG

PGBS LETRONG BINH

Bg man Chan dodnhinh anh

Truong Bai hoe Y-Duoe, Bai gc Hué

HOI NGH SEU AM TOAN qUOC LAN THU stu WUIL(

THEA NATIONAL CONGRESS FVIETNAMESE SOCIETY OF ULTRASOUND NMEDCINE

‘Tho pul 0-09 thing mbm 024 Hue Cy, March 08H, 204

Disclosure

‘Nether | nor my immediate family members have a
financial relationship with a commercial organization tht

may have adirect or indirect intrest in the content

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. Bedside ultrasound

Siu dm hung dn can tig th tht

Raciologist Thigu

(6; Ty tin

+ Kj néngsiéu dm *Tam so tréchnhiém

ljtyduinhtfpfn + Ta0igiia(BA-I§

* May siéudm

NOIDUNG

Tonqugan

+ Chi doh & Chongchi inh

"Dung cy

+ Céc bude tién han thi thud

* Minh hog mgt thd thut co bén

+lÉtllận

Tong quan

"Ty dich (uid collection}

«Shock aiém tng

+ DAFC(Drainage/ Aspiration of fui collection}

image-guided danage or aspiration of abscesses and id colections (OAFC)has become the dlagnosticand
therapeutic treatment f choice fora wide varey offi colectons 12] DAFC isa safe and effective

alternative or adjunct to suger, reducing morbidity and mortalty, length of hospital stay, and cost 1-38).

ACR-SIR-SPR PRACTICE PARAMETER FOR SPECIFIACNDAPTERIFOORMNANSCE OF IMAGE GUIDED DAMAGE/ ASPIRATION
COF ABSCESSEANSD FLUO COLLECTIONS. 203

Khai niém

* Choc hit (aspiration) «Dan gu (drainage)

*Cchit dh ut evacuation) *PCD(PeCutaneous Drainage Ct
ih val cathdein tvuetrrong 6
Gch (ital catheter
nghiém (sampling +1 hog niu cathetseinrge
session hoge stagedprocedure
* Kim choc ti226-146 + Trcar vs. Selinger technique

*Chachitvétrotngkciinmg 1 «Odin

lan thd thut +Gay talln mce, ,métodn

+ Oclchahd than

+ CGthE Kg cin yt nu kim +Sau th thuat hu cd dinh, bom

nhủ sedwu tuangnvuyén

lớn: ghi on gn

ch)

DAFC

Chidinh Ching chi dinh (tong di

“Ng ngb dich nhiém tring hode c+ Rbiloan dng du nng Kndndig
dung (co) bt hung chinh duge

+ Cénxdc nh bn chat ch + thí ng hi hdptudn hon

+ tu dh cb tu hứy hú bái 48M ng tg on

chinagnh umn tg ye đèn *Ben nhdn khdhonpgtéc

dp (sy hd hp, tc ut, mach mau «Kingcf dung tiép cn antodn

chen ép th on J

' T thut lú trự đầu tị [iễn lưu

Í(jlaItj tin.)

Threshold: DAFC shouldbe done for ofthe ab4oindvicaetions in 98H of cases,

Dan lu

Trocar Seldinger

+Chg thi vo 6 ch "Stechoyc aon

+ Diy cathdaneuvtgoe6crich lun0" 2d4 éGanynhideu éMIEUCO,no6ng ,nnong

manna duong hdm, da dnl vao 0

* Nhanh tch theo diy dan (ove-the

+ ch in, nding, ot vig

can tiga

rer

0 dich “kno”

Siéu dm can thigp tai giving

* Wu diem ca sidudm

* Bedside US guidance

+ Bénh hn néng((CU, CCDK..)

*Nhanh chong, tén loi hon cdc KTHA kha

+ iy 8 ti chd

* Guide incorporated probe vs, Hands-free technique

Neuyén tic chung

+Hu hu ttc ch 0 dich/abwcess du cf the dn wu
+ Ban chat cla tn thuong i) quan trong hon Kc hud

+Prepon: dn tid qua nn ch dni abscess ho

+ Duong vao an toan (tran vital organ, mech méu ln)

+Duvno nggin mht

+ Phbihgn cdc KTHA ct ip: C1/MAL US fourasopy

+ UUtin real-time puidance

TRAN: ol ch tu, dug nu, mach mau

thé cho kim nhs Gg tid, ngdch vn hodnh

Chuan bi

Mẫnsự Thude

"BS CDHA *Lidocain

"BS ohy * Betadin

"LKTV/ OD "Saline

+ BS tai bénh phong

(hưnhị- Dung cy

Dung cu co’ban Vat tu chuyén dung

+ Drapvb khan, gacvd khan,» BO im cho: Km tu) sn, Km sac
gang tay, do mn, mask, 186, Chiba needle

+ Khay, dado (3 1) +Day din ind (0038"

"Thiboc déuddvékhudn Supporting catheter (4

+SyriSmn, g10me,:20m» Dy dan lng (4

+ Khod 3 mhdnh sonde ty tli» BOnong itor

3)nt iu, ch Anau (nylon 24, +BQ dan eu Guilon pital catheter

li

Khay dung cy |
+ hay i, kha qu du, ce cd |
tt
+ Kelly, mosqnueeidlte oHol,der, .
lú
Bd dung cy choc va nong

+ Kim Chiba 2G air wire, yellow sheath (Cook mecca) (ital 8S]

+ Danyude 0n.038"aTerumo)

+ Quenong[Diat8o

+ Daydin ng + (Sater, Ampltast

Henan is Dan wu dil

Cac bude tien hanh ~Seldinge technique

+ Yem hd so bénh én, xét nhiém, hinh anh hoe, BHC, consent.

+Sibu dm xd inh vir cig va during vd an tod, di chu vi nh nh
CLVTInCéHu Ttú
+Sat rntgri drap

* Cgc ch, lun dy dn

+ Radacbohc téch

*Nong dung ham
"Dit din vu

+NG dn eu vd ti dc teu

Case4

+0, adenocarcinoma d dy type té

bao nhan gd, di cdn phuc mac

"TOMB wong nhieu

+Suy hd hap

+ Sattritrnigcr,ap

© Yacdinh vite

+ Gly tacos t6 hdc mac
Vaddgc theo ducinhégm

* Rachda

* Choc kim, Inplane

* Ritobsdichtchlayratd,Bc kim

+ Lug diy din hair wire 0.018" quakim do ch

* Rut kim

* Bo tach dabing mosquhoictWoey