Comparison of Ultrasound and Anatomic Landmark Guided Techniques for Internal Jugular Vein Cannulation
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 4
Abstract
Background and Objectives: Central venous cannulation is standard of practice in cardiothoracic surgeries for hemodynamic monitoring, administration of fluids and drugs, pacing and so on. The internal jugular vein (IJV) is preferred over other central veins and ultrasound guidance is gaining popularity. This study compares ultrasound-guided (USG)and anatomic landmarks (LMG) techniques for cannulation of right IJV with regard to safety, speed and feasibility. Methods: 40 patients were randomly assigned to receive IJV cannulation using either anatomic landmarks or ultrasound-guided techniques. The time for locating the IJV with probe/pilot needle, time for locating IJV with 18G needle,total access time, number of attempts required to successfully cannulate IJV and complications were the parameters studied. The data were analyzed using SPSS 21.0 version. Results:-There was statistical difference (p < 0.001) between the two groups in the mean time taken for probe to center the ultrasound image/ the 22 G finder needle to locate IJV (5.05sec±SD 1.791- USG, 9.03sec±SD 4.34 – LMG), mean time for 18G introducer needle to puncture IJV(in Group USG was 12.40sec±SD 3.858 whereas in Group LMG, it was 31.70sec±SD 14.430), mean total venous access time(in Group USG was 17.45sec±SD 5.083 whereas in Group LMG it was 41.20sec±SD 16.149). First attempt cannulation was high in USG group (100%) compared to LMG group (50%). Conclusion: This study concludes that IJV cannulation is much faster, safer and more successful with ultrasound guidance compared to anatomic landmarks technique.
Authors and Affiliations
Ilango Ganesan
Keywords
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- EP ID EP472160
- DOI 10.21088/ijaa.2349.8471.4417.38
- Views 80
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