central venous cannulation of the internal jugular vein using ultrasound-guided and anatomical landmark techniques
نویسندگان
چکیده
conclusions in our conditions, the use of an anatomical landmark-guided procedure was the preferred treatment method due to limited resources and a lack of adequate training. background central venous cannulation is a current and important procedure used in the operating room and intensive care unit. some studies have shown that the application of ultrasound-guided cannulation can improve the success rate of surgery, save time, reduce the number of required needlesticks, and mitigate many complications compared to anatomical landmark-guided cannulation. objectives the aim of the present study was to draw a comparison between central venous cannulation of the internal jugular vein using ultrasound-guided and anatomical landmark-guided techniques. patients and methods a total of 321 patients scheduled for cardiac surgery in the surgical ward of a general hospital were randomly treated with central venous cannulation using either anatomical landmarks (150 patients) or ultrasound guidance (170 patients). the demographic data of patients, the success rate of cannulation, the execution time, and the number of attempts for successful cannulation as well as the complications were recorded and subjected to statistical analysis. results the success rate of cannulation was 98.7% in the anatomical landmark-guided group and 99.4% in the ultrasound-guided group. the average operation times were 46.05 and 45.46 seconds in the anatomical landmark and ultrasound-guided groups, respectively. the two groups were not significantly different in terms of the success rates of treatment, the number of attempts, the time required for successful cannulation, or the prevalence of complications (p > 0.05) other than carotid artery puncture (p = 0.04)
منابع مشابه
Central Venous Cannulation of the Internal Jugular Vein Using Ultrasound-Guided and Anatomical Landmark Techniques
BACKGROUND Central venous cannulation is a current and important procedure used in the operating room and intensive care unit. Some studies have shown that the application of ultrasound-guided cannulation can improve the success rate of surgery, save time, reduce the number of required needlesticks, and mitigate many complications compared to anatomical landmark-guided cannulation. OBJECTIVES...
متن کاملUltrasound-guided internal jugular vein cannulation.
N Engl J Med 2010;362:e57. Copyright © 2010 Massachusetts Medical Society. overview Traditionally, internal jugular vein cannulation has been performed with the use of external anatomical landmarks and palpation to guide insertion of the needle into the vessel. However, depending on the operator’s experience and the patient’s anatomy, this procedure may be difficult or unsuccessful. Over the pa...
متن کاملInternal Jugular Vein Cannulation: An Ultrasound-Guided Technique Versus a Landmark-Guided Technique
OBJECTIVES To compare the landmark-guided technique versus the ultrasound-guided technique for internal jugular vein cannulation in spontaneously breathing patients. METHODS A total of 380 patients who required internal jugular vein cannulation were randomly assigned to receive internal jugular vein cannulation using either the landmark- or ultrasound-guided technique in Bursa, Uludag Univers...
متن کاملcentral venous cannulation of the internal jugular vein both with and without ultrasound guidance in iran
متن کامل
Central Venous Cannulation of the Internal Jugular Vein Both With and Without Ultrasound Guidance in Iran
We read with great interest the article recently published in your journal about central venous cannulation of the internal jugular vein using ultrasound (US)-guided and anatomical landmark (AL) techniques in Iran (1). In their study, Fathi et al. concluded that the AL technique is superior to the US-guided method in Iran. As you are aware, the physician’s skill is the most important confounder...
متن کاملUltrasound evaluation of the anatomical characteristics of the internal jugular vein and carotid artery--facilitation of internal jugular vein cannulation.
BACKGROUND AND PURPOSE Literature review revealed major variations in the anatomic characteristics of the right internal jugular vein (IJV) and carotid artery (CA) by the use of the ultrasound machine. The purpose of this study is to examine the anatomical characteristics of the right IJV and CA and to evaluate the IJV cannulation outcomes by the standard ultrasound guided vs. ultrasound locali...
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عنوان ژورنال:
anesthesiology and pain medicineجلد ۶، شماره ۳، صفحات ۰-۰
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