Internal Jugular Vein Catheterization “A Comparative Study of Real-Time Ultrasound - Guided Technique Versus Conventional Landmark Guided Technique.”

Abstract

Background and Aim: Central venous catheter placement is a frequently performed procedure in emergency and intensive care units. we aimed to compare real-time ultrasound guided (USG) and the conventional anatomical landmark (LM) technique for the insertion of internal jugular vein catheters. Materials and method: Patients requiring IJV catheterization were prospectively recruited over a period of 1 and half year. It is a single blinded prospective randomised study involving total of 48 cases meeting inclusion criteria were randomly allocated in two groups, 24 patients to each group. Number of attempts, success rate, venous access time, IJV catheterization time and complications were observed in each group. All data were analysed by proper statistical test using SPSS-29 software. The data was analysed by computing percentages and descriptive statistics as mean, standard deviation and standard error of mean. The difference of mean between two techniques is tested using independent Student t-test. For all tests, p value of <0.05 was considered signicant. The nding of this study indicates that internal jugular vein catheterization gui Conclusion: ded by real-time USG results in higher 1st pass success rate, reduced number of cannulation attempt and fewer complication