A STUDY ON ULTRASOUND ASSISTED CANNULATION OF THE INTERNAL JUGULAR VEIN IN COMPARISON TO THE HIGH APPROACH EXTERNAL LANDMARK GUIDED TECHNIQUE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 47
Abstract
BACKGROUND Ultrasound has been a valuable tool in diagnostic and therapeutic practice in Emergency and Critical care situations. Since its first use for Central Venous access in 1978, where it was used for marking the skin site for cannulation. They have changed to real time imaging significantly decreasing the failure rate, complication rate and number of attempts required for successful access. OBJECTIVE To compare the ultrasound assisted cannulation of the internal jugular vein with the high approach external landmark guided technique. METHODOLOGY Prospective comparative study conducted in the Kannur Medical College Hospital after obtaining Institutional Ethical Committee approval. All the patients in Emergency room and Critical Care units who required internal jugular vein cannulation were included in the study. RESULTS Around 149 patients were taken up for the study. Among them 44 were excluded and 105 included for the study. Average access times (Skin-to-vein) were significantly reduced in the ultrasound group of patients compared with the landmark group (p<0.001). Average access time (Skin-to-vein) was 10.6 seconds (SD=7.68) by the ultrasound approach and 48.5 seconds (SD=33.24) by the landmark approach (p=0.001).
Authors and Affiliations
Sinewraz , Amjed
Keywords
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- EP ID EP101758
- DOI 10.14260/jemds/2016/691
- Views 75
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