A narrative review of historic and current approaches for patients with difficult venous access: considerations for the emergency department

Little, Andrew; Jones, Drew; Alsbrooks, Kimberly

doi:10.1080/17434440.2022.2095904

Cited by 1 publication

(1 citation statement)

References 48 publications

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“…2 Bedside ultrasonography (USG) guidance has become a popular tool for insertion of the CVCs and has decreased the incidence of complications during the procedure. 3,4 IJV cannulation has been very popular across the globe for the past few decades. 5 Both short-axis and long-axis views have been used for IJV cannulation.…”

Section: Introductionmentioning

confidence: 99%

A comparison of internal jugular vein cannulation versus supraclavicular brachiocephalic vein cannulation using ultrasound guidance

Zulfiqar Ali,

Abdul Waheed Mir,

Iqra Nazir

et al. 2024

Asian J Med Sci

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Background: Ultrasound has become the standard of care for the insertion of central venous catheters (CVCs) in the intensive care unit. With the introduction of ultrasonography in CVC insertion, there has been an improvement in the success rate and a dramatic decrease in the rate of complications. Aims and Objectives: The aim of this study was to compare the safety and ease of insertion of ultrasonically guided cannulation of the internal jugular vein (IJV) with that of the supraclavicular subclavian vein (SCV) in adult patients undergoing various surgical procedures. Materials and Methods: All the patients in whom central venous cannulation was planned were assigned to two groups. Group I underwent ultrasound-guided IJV while as Group II underwent cannulation ultrasound-guided SCV cannulation. A comparison was made between the two groups, of the success rates, durations of procedure, number of attempts at needle redirections, difficulties if any during insertion of guidewires, and the complications encountered. Results: The IJV group had a higher proportion of first-attempt success (93.2% versus 62.7%). The IJV group had a lesser incidence (3.2%) of complications such as guidewire progression and needle redirections compared with SCV (15.2%). The frequency of adverse events did not differ between the two study groups with an incidence in 3.2% in IJV group and 9.6% in the subclavian group. Higher first-attempt success rates and fewer procedural complications were seen with ultrasound-guided IJV. Conclusion: IJV central venous catheterization is an easier and less invasive and less risky procedure for patients.

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