Percutaneous central venous catheterization through the external jugular vein in children: improved success rate with body maneuvers and fluoroscopy assistance

Romão, Rodrigo Luiz Pinto; Valinetti, Emília Aparecida; Tannuri, Ana Cristina Aoun; Tannuri, Uenis

doi:10.1016/j.jpedsurg.2007.08.052

Cited by 12 publications

(23 citation statements)

References 8 publications

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“…[ 7 ] The conventional Seldinger technique[ 8 ] used alone has been of variable and unpredictable success rate while utilising EJV for CVC. [ 5 6 9 10 ]…”

Section: Discussionmentioning

confidence: 99%

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Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

et al. 2017

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Background and Aims:The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an unpredictable success rate. There is an encouraging literature on the improved success rate of CVC through EJV with the inclusion of certain body manoeuvres. This prospective randomised controlled study was conducted with the aim of evaluating the efficacy of body manoeuvres in improving the success rate of CVC through EJV.Methods:One hundred patients aged 18–50 years, scheduled for elective surgery requiring CVC, were randomly assigned to either undergo CVC using Seldinger technique with body manoeuvres or a control group undergoing CVC without body manoeuvres. The primary outcome was the success rate of CVC, as observed in the post-procedure chest radiograph. Secondary outcomes included quality of central venous pressure waveform, catheterisation attempts, total time for CVC, complications.Results:CVC was achieved in 98% (49/50) of patients in study group and 80% (40/50) of patients in control group (P = 0.008). Mean catheterisation time was significantly lower in the study group (151.06 ± 40.50 s) compared to control group (173.50 ± 50.66 s) (P = 0.023). The incidence of catheter misplacement and failure to cannulate were lower in the study group (0%, 2% vs. 20%, 12.5%, respectively). Groups did not differ in a number of catheterisation attempts and incidence of haematoma.Conclusion:Inclusion of various body manoeuvres to Seldinger technique significantly improves the success rate of CVC through EJV.

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“…[ 7 ] The conventional Seldinger technique[ 8 ] used alone has been of variable and unpredictable success rate while utilising EJV for CVC. [ 5 6 9 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…CVC was achieved from EJV in 98% in the study group and 80% in the control group ( P = 0.008). The success rate of CVC from EJV has been reported to range from 73% by Chakravarthy[ 10 ] et al . in large study to almost 100% in the smaller study by Blitt[ 17 ] et al .…”

Section: Discussionmentioning

confidence: 99%

Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

et al. 2017

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“…Endothelial lesion, venous stases, and the condition of blood hypercoagulability lead to thrombophlebitis and DVP [6]. procedures [9].…”

Section: Discussionmentioning

confidence: 99%

“…Several complications have been described, not only in the moment of catheter insertion, but also during its permanence in the vein and its removal [4]. Lesions such as venous laceration, dissection of the venous wall and accidental arterial punction, pneumothorax, hematoma, and even death might occur at the moment of the catheter insertion [5] [6].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, both endothelial injury and venous stasis are the factors that trigger thrombotic process [6]. Endothelial trauma in turn starts coagulation chain reactions through three pathways: exposure of subendothelial tissue (collagen) activating tissual thromboplastin, release of tumor necrosis factor (TNF) and interleukin-1 (IL-1) by endothelium cells, and released toxins as the result of tissual necrosis or lesion [7] [8].…”

Section: Introductionmentioning

confidence: 99%

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Comparative Study of Histological Alterations in Intravascular Catheter Region with and without the Use of Local Corticosteroid

Muniz¹,

Amaral²,

Novo³

et al. 2017

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Recommandations pour la pratique clinique: Nice, Saint-Paul de Vence 2009 « cancers du sein » et « soins de support »

2009

Oncologie

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Percutaneous central venous catheterization through the external jugular vein in children: improved success rate with body maneuvers and fluoroscopy assistance

Cited by 12 publications

References 8 publications

Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

Comparative Study of Histological Alterations in Intravascular Catheter Region with and without the Use of Local Corticosteroid

Recommandations pour la pratique clinique: Nice, Saint-Paul de Vence 2009 « cancers du sein » et « soins de support »

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