Safety and efficacy of the oblique-axis plane in ultrasound-guided internal jugular vein puncture: A meta-analysis

Abstract

ObjectiveThis meta-analysis was performed to evaluate the safety and efficacy of the oblique-axis plane in ultrasound-guided internal jugular vein puncture.MethodsWe searched Embase, PubMed, the Cochrane Library, Web of Science, and China National Knowledge Infrastructure for relevant randomized clinical trials comparing the oblique axis with the short axis in ultrasound-guided internal jugular vein puncture.ResultsFive randomized clinical trials were included in this meta-analysis. The pooled meta-analysis showed that the incidence of arterial puncture in the oblique-axis group was significantly lower than that in the short-axis group. No significant difference was found in the first-pass success rate between the oblique-axis group and short-axis group. Additionally, there were no significant differences in the puncture success rate or number of attempts required between the two groups.ConclusionUltrasound-guided internal jugular vein puncture using the oblique-axis plane reduced the risk of arterial puncture, but no difference was found in the first-pass success rate, puncture success rate, or number of attempts required.

Real‐time ultrasound‐guided internal jugular vein cannulation by oblique‐axis in‐plane: Practice at the Fourth Hospital of Hebei Medical University

“…Different studies have detailed approaches to ultrasound‐guided IJV cannulation, each with their own advantages and disadvantages 15 . Some meta‐analyses show insufficient evidence to confidently recommend the LA, SA or OA approaches for patients undergoing ultrasound‐guided vascular access cannulation 16‐19 . However, a growing number of scholars advocate for the OA‐IP technique.…”

“…It is well-known that real-time ultrasound-guided techniques can significantly reduce the number of attempts to cannulate and achieve a higher first-needle-pass success rate, quicker cannulation time, and exhibit fewer complications in IJV cannulation. [16][17][18][19] However, a growing number of scholars advocate for the OA-IP technique. For example, Baidya et al 20 showed that the medi- Abbreviations: IJV, internal jugular vein; N, number; SD, standard deviation.…”

In-line oblique transducer approach for ultrasound guided cannulation of internal jugular vein.

“…16 Similar was seen by the studies done by Chuan et al and Batlori et al where this success was seen in 100% and 96.4% of the cases where the latter used the oblique technique and the first attempt success rate was highest. 7,18 In a meta-analysis regarding the success rate and complications of the oblique-axis plane, it was demonstrated that ultrasound guided IJV cannulation with oblique-axis plane may also reduce the chances of carotid artery puncture. 18 The in-line oblique-axis technique provide the advantages of the both SAX and LA approaches in one ultrasound guided view.…”

“…7,18 In a meta-analysis regarding the success rate and complications of the oblique-axis plane, it was demonstrated that ultrasound guided IJV cannulation with oblique-axis plane may also reduce the chances of carotid artery puncture. 18 The in-line oblique-axis technique provide the advantages of the both SAX and LA approaches in one ultrasound guided view. Once mastered, it is likely that with inline oblique axis probe position allowing for visualization of both the carotid artery and IJV while observing the needle advancement into the vein would minimize the risk of many complications associated with CVC insertions.…”

Acceso vascular guiado por ecografía en el niño crítico: ventajas, retos y nuevas técnicas = Ultrasound guided vascular access in critically ill children: Advantages, challenges and new techniques

“…Ha mostrado muy buenos resultados en la canalización de la yugular interna en adultos, aunque existe menos experiencia en niños. (76,83) Figura 1.31 (31): Abordajes ecoguiados alternativos. Inserción de la aguja en transversal en plano (a).…”