Ultrasound-guided internal jugular vein catheterization: A randomized controlled trial
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 2
Abstract
Introduction Even though advantages of ultrasound line placement seem obvious, many countries do not have easy access to such technology. This study aims to compare the degree of difficulty in central venous line placement with or without ultrasound and the incidence of complications, and to establish the effect of the operator’s degree of training. Methods The study included 257 patients that required central venous catheterization during the study period. Patients were divided into groups according to the operator’s experience: expert group (over 70 central accesses performed before the study) (n=152) and in-training or non-expert group. Procedures were randomized to “without ultrasound” (n=80 expert and 54 non-expert) and “with ultrasound” (n=72 expert and 51 non-expert). Results Catheter placements were more successful in the “expert” and in the “with ultrasound” than in the “non-expert” (88% vs 79%; p=0.04) or in the “without ultrasound” groups (91% vs 78%; p=0.005). Incidence of complications was 11.7%, with no significant difference among “with ultrasound” (8.1%) and “without ultrasound” (14.9%) groups. However, the “non-expert” group had fewer complications with the use of ultrasound (7.8% vs 24%). Conclusions Ultrasound reduces the incidence of complications when placement is performed by inexperienced operators. Centers with residents should emphasize the necessity of ultrasound for central line catheterization. Training in ultrasound might be of paramount importance in the effectiveness of the technique.
Authors and Affiliations
DR SIDDHARTHA CHAGALETI, DR JEEVAN BABU ATHURU
Keywords
Related Articles
- EP ID EP570647
- DOI -
- Views 80
- Downloads 0
Indirect Shoot Organogenesis in Jatropha Curcas (L) for in Vitro Propagation
Jatropha curcas a monoecious perennial shrub belongs to family euphorbiaceae. Mainly known as a biodiesel crop its commercialization is elusive due to variations in seed yield, oil content, and slow germination rates. Op...
Evalution of Cardiovascular Risk in Psoriasis Patients
Background-Psoriasis is a dermatological condition but its association with cardiovascular comorbidities is generating an increasing awareness that early diagnosis of associated cardiovascular risk factor like dyslipidem...
A STUDY ON PREVALENCE OF THYROID PEROXIDASE ANTIBODIES PRETERM DELIVERIES, IUD AND RECURRENT PREGNANCY LOSS AT A TERTIARY CARE HOSPITAL, TAMILNDU, INDIA
Background: Thyroid peroxidase antibody (TPO-Ab) is associated with increased risk of adverse pregnancy outcomes. The present study was aimed to find out the prevalence of thyroid peroxidise antibodies (TPO-Ab) in the st...
A STUDY ON THE ORGANISATIONAL STRESS LEVEL AMONG WOMEN EMPLOYEES OF IT INDUSTRIES IN CHENNAI
Stress is defined as an upset in the body's balance due to physical, mental or emotional stimuli. Stress manifests itself in different ways including fatigue, chronic headaches, irritabilities, heart diseases and low sel...
COMMUNITY SERVICE LEARNING AS A TOOL TO ENHANCE LIFE SKILLS: A STUDY AMONG SCHOOL CHILDREN
The UNESCO Position paper on Education 2015, states that education should aims at enabling and empowering people to realize their rights, fulfil their personal expectations for a decent life and work, and contribute to t...