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Title: | Internal jugular vein cannulation: An ultrasound-guided technique versus a landmark-guided technique |
Authors: | Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı. Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı. 0000-0002-6503-8232 0000-0001-5999-0510 0000-0002-3019-581X Türker, Gürkan Kaya, Fatma Nur Gurbet, Alp Aksu, Hale Erdoğan, Cüneyt Atlas, Ahmet AAI-8213-2021 AAI-6642-2021 A-7994-2018 S-2847-2016 A-7725-2019 7003400116 7003619647 35618853300 16432662600 8293835700 35108766800 |
Keywords: | Central venous cannulation Jugular vein Ultrasonography Landmark Complication Central venous cannulation Ventilated patients Catheterization Puncture Complications Metaanalysis Placement Guidance General & internal medicine |
Issue Date: | 2009 |
Publisher: | Hospital Clinicas |
Citation: | Türker, G. vd. (2009). "Internal jugular vein cannulation: An ultrasound-guided technique versus a landmark-guided technique". Clinics, 64(10), 989-992. |
Abstract: | 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 University Faculty of Medicine, between April and November, 2008. Failed catheter placement, risk of complications from placement, risk of failure on first attempt at placement, number of attempts until successful catheterization, time to successful catheterization and the demographics of each patient were recorded. RESULTS: The overall complication rate was higher in the landmark group than in the ultrasound-guided group (p<0.01). Carotid puncture rate and hematoma were more frequent in the landmark group than in the ultrasound-guided group (p<0.05). The number of attempts for successful placement was significantly higher in the landmark group than in the ultrasound-guided group, which was accompanied by a significantly increased access time observed in the landmark group (p<0.05 and p<0.01, respectively). Although there were a higher number of attempts, longer access time, and a more frequent complication rate in the landmark group, the success rate was found to be comparable between the two groups. CONCLUSION: The findings of this study indicate that internal jugular vein catheterization guided by real-time ultrasound results in a lower access time and a lower rate of immediate complications. |
URI: | https://doi.org/10.1590/S1807-59322009001000009 https://www.scielo.br/j/clin/a/PGnZGPqFzk83JKpWJBfTnRf/ http://hdl.handle.net/11452/22740 |
ISSN: | 1807-5932 |
Appears in Collections: | Scopus Web of Science |
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