Effect of ultrasound guided cervical nerves pathway block for internal jugular vein cannulation in awake patients
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 2
Abstract
<b>Objective</b> To evaluate ultrasound guided cervical nerves pathway block (CNPB) for internal jugular vein cannulation in awake patients. <b>Methods</b> A total of 100 patients who underwent elective jugular vein puncture and catheterization at Nanjing Pukou District Hospital of Chinese Medicine from June to December 2021 were selected and divided into ultrasound guided CNPB group (group B, n=50) and local infiltration anesthesia group (group C, n=50). Both groups underwent internal jugular vein catheterization under ultrasound guidance. The outcome indicators were the Numeric Rating Scales (NRS), Bruggrmann Comfort Scale (BCS), hemodynamic parameters, sleeping quality, and the complications. The results were recorded in the morning of the cannulation operation (T0), during the operation (T1), 5 min after the cannulation (T2), that night of the cannulation (T3), postoperative day 1 (T4), postoperative day 2 (T5). <b>Results</b> The NRS of group B were significantly lower than that of group C at T1 and T3. The BCS of group B were higher than group C at T1, T2, T3, and T4. The heart rate and systolic blood pressure at T1 in group B were dramatically lower than group C. At T3 and T4, sleeping quality of group B was better than group C (P＜0.05). <b>Conclusion</b> Ultrasound guided CNPB, as the anesthesia for internal jugular vein cannulation in awake patients, can effectively reduce the NRS scaling and improve the BCS and sleeping quality without obvious adverse reactions.
Authors and Affiliations
YU Li*, WANG Jin, YOU Lanying, ZHOU Dalei, XIE Li, SUN Jie, ZHENG Kang
Keywords
Related Articles
- EP ID EP736526
- DOI 10. 13429/j.cnki.cjcr.2024.02.021
- Views 54
- Downloads 0
Dose of remimazolam in painless gastroenteroscopy in elderly patients under bispectral index monitoring
"<b>Objective</b> To explore the appropriate initial dose of remimazolam for painless gastroenteroscopy in elderly patients based on bispectral index (BIS) monitoring. <b>Methods</b> A total of 165 elderly patients w...
Influencing factors of sleep disorders in elderly hypertensive patients and the construction of nomogram prediction model
Objective To investigate the factors influencing sleep disorders in elderly hypertensive patients, construct a corresponding nomogram prediction model, and validate its efficacy. Methods A retrospective analysis was cond...
Effect of brain computer interface combined with acupuncture therapy on motor and cognitive function in stroke patients
Objective To investigate the effect of a brain computer interface combined with acupuncture therapy on therecovery of motor function, cognitive function and daily living ability in stroke patients. Methods A prospective...
Circulating tumor cell with neutrophil to lymphocyte ratio in predicting efficacy of advanced gastric cancer
<b>Objective</b> To investigate the predictive effect of circulating tumor cell (CTC) combined with neutrophil to lymphocyte ratio (NLR) on efficacy of advanced gastric cancer. <b>Methods</b> The clinicopathological data...
Clinical effect of Qingxiao Formula combined with silk seton therapy by applying Badu Shengji Powder on areola fistula of non-lactating mastitis with liver meridian stagnation heat syndrome
Objective：To observe the clinical effect of Qingxiao Formula combined with silk seton therapy by applying Badu Shengji Powder on areola fistula of non-lactating mastitis with liver meridian stagnation heat syndrome. Met...