Short versus long axis ultrasound guided approach for internal jugular vein cannulations: A prospective randomized controlled trial

Rath, Arun; Mishra, Shakti Bedanta; Pati, Bhabani Sankara; Dhar, Sanjib Kumar; Ipsita, Snigdha; Samal, Samir; Azim, Afzal

doi:10.1016/j.ajem.2019.06.010

Cited by 11 publications

(8 citation statements)

References 18 publications

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“…5 Many studies are available in the literature that show the superiority of the SAX and LAX views over each other. 6,7 However, no studies have compared the biplane view (BPX) and SAX view for IJV cannulation in patients undergoing cardiac surgeries. Through the present study, the authors aimed to compare the efficacy and feasibility of the real-time, 3D ultrasound probeÀguided BPX view with the universally followed SAX view for IJV cannulation.…”

mentioning

confidence: 99%

Internal Jugular Vein Cannulation Using a 3-Dimensional Ultrasound Probe in Patients Undergoing Cardiac Surgery: Comparison Between Biplane View and Short-Axis View

Panidapu

Babu

Koshy

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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mentioning

confidence: 99%

Internal Jugular Vein Cannulation Using a 3-Dimensional Ultrasound Probe in Patients Undergoing Cardiac Surgery: Comparison Between Biplane View and Short-Axis View

Panidapu

Babu

Koshy

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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“…However, there is a significant relationship between the diameter of IJV with first‐needle‐pass and margin of safety with incidence of carotid puncture 10 . According to Rath et al, 22 the LA view showed similar insertion and procedure timings to the SA view. There was a lower complication rate and number of needle punctures with the LA approach compared with the SA approach.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

Int J Clin Pract

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Objective We aimed to evaluate oblique‐axis in‐plane (OA‐IP) techniques for real‐time ultrasound‐guided internal jugular vein (IJV) cannulation. Methods We retrospectively analysed 1065 patients who underwent ultrasound (US)‐guided IJV cannulation. We recorded demographic characteristics of patients, success rate, access time, cannulation time, number of attempts and the incidence of acute complications. Results The overall success rate of the procedure was 100% (n = 1605). In total, 1594 cases (99.3%) were successful at the first attempt, and 11 (0.7%) were successful at the second attempt; no patient required three or more attempts. The mean access time was 18.7 ± 19.3 seconds. The mean cannulation time was 349.0 ± 103.8 seconds. There were 54 (3.4%) acute complications out of the total 1605 cannulations: 23 cases of puncture site bleeding (1.4%), 20 cases allergic to dressing (1.3%), 10 cases of local cervical hematomas (0.6%), and one catheter misplacement (0.1%). There were no major complications 12 hours following the procedure. Conclusions The results of our study suggest that OA‐IP techniques can improve ultrasound‐guided IJV cannulation with a high success rate and safety in clinical practice. Clinicians should consider adopting these methods.

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“…US-guided IJV cannulation can be performed using two techniques: short-axis or long-axis. The short-axis is technically easier than the long-axis view and is the preferred approach for teaching US-guided IJV cannulation [ 16 , 17 ]. This imaging technique allows simultaneous cross sectional visualization of the IJV, the CCA and surrounding tissues to avoid these structures [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of ultrasound-guided internal jugular vein and supraclavicular subclavian vein catheterization in critically ill patients: a prospective, randomized clinical trial

Trabelsi

Hajjej

Drira

et al. 2022

Ann. Intensive Care

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Background The aim of this study was to compare the effectiveness and safety of ultrasound-guided out-of-plane internal jugular vein (OOP-IJV) and in-plane supraclavicular subclavian vein (IP-SSCV) catheterization in adult intensive care unit. Methods A total of 250 consecutive patients requiring central venous catheterization, were randomly assigned to undergo either ultrasound-guided OOP-IJV or IP-SSCV cannulation. All catheterizations were carried out by three physicians. The primary outcome was the first attempt success rate. Ultrasound scanning time, venous puncture time, insertion time, overall access time, number of puncture attempts, number of needle redirections, success rate, guidewire advancing difficulties, venous collapse and adverse events were also documented. Results The first attempt success rate was significantly higher in IP-SSCV group (83.2%) compared to OOP-IJV group (63.2%) (p = 0.001). The IP-SSCV group was associated with a longer ultrasound scanning time (16.54 ± 13.51 vs. 5.26 ± 4.05 s; p < 0.001) and a shorter insertion time (43.98 ± 26.77 vs. 53.12 ± 40.21 s; p = 0.038). In the IP-SCCV group, we recorded a fewer number of puncture attempts (1.16 ± 0.39 vs. 1.47 ± 0.71; p < 0.001), needle redirections (0.69 ± 0.58 vs. 1.17 ± 0.95; p < 0.001), difficulties in guidewire advancement (2.4% vs. 27.4%; p < 0.001), venous collapse (2.4%, vs. 18.4%; p < 0.001) and adverse events (8.8% vs. 13.6%; p = 0.22). Conclusions The IP-SSCV approach is an effective and a safe alternative to the classic OOP-IJV catheterization in critical adult patients. Trial registration: Clinicaltrials.gov, NCT03879954. Registered March 19, 2019—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03879954.

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Short versus long axis ultrasound guided approach for internal jugular vein cannulations: A prospective randomized controlled trial

Cited by 11 publications

References 18 publications

Internal Jugular Vein Cannulation Using a 3-Dimensional Ultrasound Probe in Patients Undergoing Cardiac Surgery: Comparison Between Biplane View and Short-Axis View

Internal Jugular Vein Cannulation Using a 3-Dimensional Ultrasound Probe in Patients Undergoing Cardiac Surgery: Comparison Between Biplane View and Short-Axis View

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

Comparison of ultrasound-guided internal jugular vein and supraclavicular subclavian vein catheterization in critically ill patients: a prospective, randomized clinical trial

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