central venous cannulation of the internal jugular vein using ultrasound-guided and anatomical landmark techniques

نویسندگان

mehdi fathi cardiac anesthesia research center, faculty of medicine, mashhad university of medical sciences, mashhad, iran

azra izanloo research and education department, razavi hospital, mashhad, iran

saeed jahanbakhsh faculty of medicine, mashhad university of medical sciences, mashhad, iran; faculty of medicine, mashhad university of medical sciences, mashhad, iran. fax: +98-5138525209

mehryar taghavi gilani cardiac anesthesia research center, faculty of medicine, mashhad university of medical sciences, mashhad, iran

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)

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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...

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Internal Jugular Vein Cannulation: An Ultrasound-Guided Technique Versus a Landmark-Guided Technique

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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...

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عنوان ژورنال:
anesthesiology and pain medicine

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