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Category: Volume 07 Issue 04 April 2019
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Title: Real-time ultrasound guided technique for improving the rapidity of Internal Jugular vein cannulation

Authors: Dr Kishore K Baliga, Dr Geetha N.K., Dr Anil Sathyadas

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.188

Abstract

Internal Jugular Vein is commonly cannulated to obtain central venous access for long term administration of vasopressors, irritant drugs, fluids, haemodynamic monitoring, total parenteral nutrition and haemodialysis in critical care patients.  The safe puncture of internal jugular vein can be achieved using anatomical landmarks in the neck. Ultrasound guidance could be beneficial in placing central venous catheters by improving the success rate, reducing the number of needle passes and decreasing the access time. The present study observed the cannulation techniques of internal jugular vein by anatomical landmark and real-time ultrasound guided techniques and compared whether the use of ultrasound improves the rapidity of the cannulation technique. In this study, hundred critical care patients requiring right internal jugular vein cannulation via central approach were allocated to one of the two groups- anatomical landmark guided or real-time ultrasound guided group (50 in each group) based on the technique of cannulation. In our study, there was 86% success rate for first attempt cannulation in the ultrasound guided technique and 68% in the anatomical landmark guided technique. The mean total time of cannulation in the ultrasound guided technique was 150.68 ± 16.93 sec as against 221.20 ± 61.91 sec in the anatomical landmark guided technique. Ultrasound guided technique improves the catheterization technique of the internal jugular vein with respect to rapidity and success rate of the procedure.

Keywords: Central venous cannulation, Internal Jugular Vein, Real-time ultrasound, Anatomical landmark.

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Corresponding Author

Dr Geetha N.K.

Additional Professor, Department of Anaesthesiology, Govt Medical College, Thiruvananthapuram, Kerala, India

Ph: 9447745863, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.