The incidence of artery puncture with central venous cannulation using a modified technique for detection and prevention of arterial cannulation

Oliver, William C.; Nuttall, Gregory A.; Beynen, Froukje M.; Raimundo, Hugo S.; Abenstein, John P.; Arnold, Jacqueline J.

doi:10.1016/s1053-0770(97)90119-1

Cited by 76 publications

(55 citation statements)

References 23 publications

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“…All abnormalities of IJV may be related to an increased complication rate and CVC failure (1). Generally, the physicians may perform multiple attempts for cannulation according to the anatomical landmarks.…”

Section: Discussionmentioning

confidence: 99%

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Absence of the Right Internal Jugular Vein During Ultrasound-Guided Cannulation

Alagöz¹,

Tunç²,

Sazak³

et al. 2015

Turk J Anesth Reanim

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İnternal juguler ven (İJV) kanulasyonu anatomik varyasyonlar nedeniyle zor olabilir. Yoğun bakımda 66 yaşındaki kadın olguya ultrasonografi eşliğinde sağ İJV kanülasyonu planlandı. Sağ İJV olgunun pozisyonunu değiştirmemize ve Valsalva manevrası uygulamamıza rağmen görüntülenemedi. Sonrasında Sol İJV kolayca görüntülenerek ultrasonografi eşliğinde kanülasyon yapıldı. Anatomik işaretlere göre santral ven kanülasyonu birçok hastada başarılı olmakla birlikte, anatomik varyasyonların oranı çoktur ve buna bağlı komplikasyon oranı da oldukça yüksektir. Santral ven kanülasyonlarında ultrasonografi eş zamanlı kullanılmasa dahi iş-lem öncesi anatomik yapıların ultrasonografi ile doğrulanmasının başarılı santral ven kanülasyonu için önemli olduğunu vurgulamak istedik.Anahtar Kelimeler: Sağ internal juguler ven, ultrasonografi, komplikasyon, anatomik varyasyon Cannulation of the internal jugular vein (IJV) may be diffucult because of anatomical variations. A 66-year-old female patient, who was in the intensive care unit, underwent ultrasound-guided cannulation ofthe right IJV. The right IJV could not visualized by ultrasonography despite positional changes of the patient and Valsalva maneuvre. The left IJV was easily determined by ultrasonography and cannulated. Although the landmark technique may be sufficient for most of the central vein cannulations, the rate of anatomical variations and related complications is quite high. We point out that even if ultrasound cannot be used in real-time, the ultrasonographic confirmation during the pre-insertion period may be crucial for successful central vein cannulation.Keywords: Right internal jugular vein, ultrasonography, complication, anatomic variation Abstract / Özet

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Section: Discussionmentioning

confidence: 99%

“…The anatomical variations increase the central venous catheterization (CVC) failure and the rate of malposition (1). Recently, the guidance of ultrasonography (USG) either in pre-insertion or in real-time is accepted as a remedy to reduce the failure and malposition rate (2).…”

Section: Introductionmentioning

confidence: 99%

Absence of the Right Internal Jugular Vein During Ultrasound-Guided Cannulation

Alagöz¹,

Tunç²,

Sazak³

et al. 2015

Turk J Anesth Reanim

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“…Pressure measurement is a reliable method that can be used to identify venous access during CVC placement [8,[85][86][87]. The idea is that the measured pressure inside the needle between muscle tissue, the vein, and artery are very different.…”

Section: Alternative and Complementary Technologymentioning

confidence: 99%

“…Studies on CVC placement using the conventional pressure transducers were conducted in Refs. [86,87]. These transducers, such as the one presented in Ref.…”

Section: Alternative and Complementary Technologymentioning

confidence: 99%

Assistive technology for ultrasound-guided central venous catheter placement

2017

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This study evaluated the existing technology used to improve the safety and ease of ultrasound-guided central venous catheterization. Electronic database searches were conducted in Scopus, IEEE, Google Patents, and relevant conference databases (SPIE, MICCAI, and IEEE conferences) for related articles on assistive technology for ultrasound-guided central venous catheterization. A total of 89 articles were examined and pointed to several fields that are currently the focus of improvements to ultrasound-guided procedures. These include improving needle visualization, needle guides and localization technology, image processing algorithms to enhance and segment important features within the ultrasound image, robotic assistance using probe-mounted manipulators, and improving procedure ergonomics through in situ projections of important information. Probe-mounted robotic manipulators provide a promising avenue for assistive technology developed for freehand ultrasound-guided percutaneous procedures. However, there is currently a lack of clinical trials to validate the effectiveness of these devices.

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“…The likely answer is it happens more frequently than reported. The Mayo Clinic answered this with a prospective study of 1011 consecutive cardiothoracic and vascular surgery patients, and found the incidence of carotid puncture with a ''finder'' needle at 9.3% with a landmark-based technique for internal jugular vein cannulation [40]. Damen and Bolton [41], in another large prospective study of 1400 patients scheduled for cardiac surgery, found an incidence of 4.8%, and in the pediatric population the reported incidence is 7% to 8% [42,43].…”

mentioning

confidence: 99%