Real-time Ultrasound-guided Catheterisation of the Internal Jugular Vein: A Prospective Comparison with the Landmark Technique
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 6
Abstract
Central venous access has become a mandatory part for clinical management of critically ill patients, both in acute care setting and chronic long term care. However, anatomical landmark guided technique for IJV cannualation is not devoid of complication like carotid arterial puncture and pneumothorax. In this prospective, randomized, controlled, clinical trial, we compared and assess the anatomical landmark guided technique for IJV cannulation with USG guided technique in terms of success rate, no. of attempts and complications. Sixty four patients of either sex, between age group of 18 –70 years requiring either elective or emergency CVC placement, were randomly divided to 2 groups, Group USG: USG guided technique and Group ALG: Conventional or anatomical landmark guided technique. Venous access time and catheterization time both were found to be statistically significantly less in USG group compared to ALG group (p<0.0001). Successful cannulation in 1st attempt could be done in more no. of patients in USG group (26 patients) compared to ALG group (6 patients) (p<0.00001). Success Rate was 87.5% in Group ALG while it was 100% in Group USG. Which was statistically highly significant (p<0.05). Overall Complications rate was 25% versus 3.125% in Group ALG and group USG respectively which was statistically significant.(p<0.05).Ultrasound guided central venous catheter placement is easy, safer and prudent approach than anatomical landmark guided technique hence should be encouraged to improve patient’s safety and quality care.
Authors and Affiliations
Palak Katwala
Keywords
Related Articles
- EP ID EP541230
- DOI 10.21088/ijaa.2349.8471.5618.7
- Views 96
- Downloads 0
Incidence of Internal Jugular Vein Valve Incompetence through High versus Low Approach for IJV Cannulation
Studies done on internal jugular venous valve (IJVV) competence shows that structural and functional integrity of the IJV valve may be compromised when the IJV is cannulated for insertion of a central venous catheter. US...
Study of Effect of Ondansetron in Preventing Hypotension Following Spinal Anaesthesia in LSCS
This randomized double blind study was conducted to know the efficacy of ondansetron as prophylactic agent for reduction in incidence of hypotension and bradycardia in patients undergoing caesarean section under spinal a...
Comparison of Haemodynamic Responses to Insertion of Laryngeal Mask Airway and Endotracheal Tube
Introduction: Laryngeal mask airway (LMA) insertion has emerged as an alternative to endotracheal (ET) intubation for maintaining airway and anaesthesia.This study was done to compare the haemodynamic responses associate...
A Comparative Study of Intraoperative Use of Amiodarone Verses Diltiazem in Patients with Rheumatic Valvular Heart Disease and Atrial Fibrillation Undergoing Valve Replacement Surgery
Background and aim: The studies on effects of amiodarone and diltiazem, on conversion of atrial fibrillation (AF) to normal sinus rhythm (NSR) in patients of rheumatic heart disease (RHD) with AF undergoing valve replace...
Comparison of Intravenous Tramadole versus Rectal Tramadole for Postoperative Analgesia Following Appendectomy
Background and Aim: Tramadol is atypical opioid having central as well as peripheral analgesic action. It acts on opioid receptors as well as having effect on neuronal reuptake of nor epinephrine and serotonin. In this s...