Comparison of the ultrasound guided technique versus the traditional blind anatomical landmark technique for the placement of central venous catheter in the internal jugular vein
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 6, Issue 3
Abstract
Background: Internal jugular venous access is an essential part of patient management in many clinical settings. In the traditional technique, rates of major and minor complications can be as high as 10%. Ultrasound guided central venous access is a useful application of real-time ultrasound technology in the field of Anaesthesiology and Critical care that can decrease complication rate and improve quality of patient care. Aim: The aim of this study is to compare the ultrasound guided technique with the traditional blind anatomical landmark technique for internal jugular vein cannulation in terms of speed of cannulation, success rate, failure rate, and the complication rate. Materials and Methods: This is a prospective randomized double-blinded study in which 40 patients of either sex posted for elective major surgeries of the age group 20 – 70 years were allocated into two groups Group A- Ultrasound guided technique and Group B-Traditional blind anatomical landmark technique. Time taken to locate and complete cannulation, number of attempts taken, failure and complications were recorded. Results: The time duration taken to locate the vein with the pilot needle and total access time significantly faster in group A. The group A had 100% success rate of cannulation with maximum of first attempt itself without any failure and complications. Conclusion: Ultrasound guidance for internal jugular vein cannulation technique is Quicker and Safer when compared with the traditional blind anatomical landmark technique and helps in improving quality of patient care.
Authors and Affiliations
A Ganesh, D Ashok Kumar, R Kanthimathy
Keywords
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