The success rate and safety of internal jugular vein cannulation using anatomical landmark technique in patients undergoing cardiothoracic surgery

Tempe, Deepak K; Virmani, Sanjula; Agarwal, Jyotsna; Hemrajani, Manisha; Satyarthy, Subodh; Minhas, Harpreet Singh

doi:10.4103/0971-9784.105364

Cited by 16 publications

(17 citation statements)

References 22 publications

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“…On the basis of recent studies, ultrasonography is used to detect the internal jugular vein and reduce the complications of catheterization (1, 10). Therefore, it would be better to use ultrasound in a catheterization procedure.…”

Section: Discussionmentioning

confidence: 99%

A Rare Central Venous Catheter Malposition: A Case Report

et al. 2014

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Introduction:Central venous catheter placement is a routine procedure for the management of critically ill patients; however, it is important to ensure its proper placement. A central venous catheter malposition may cause various complications, some of which can be fatal.Case Presentation:We report an unexpected malposition of a catheter in the left internal jugular vein, where it entered into the left internal mammary vein.Conclusions:We think one of the influential factors for leading a guidewire and catheter into a nominated vein may be the left sided bevel of the needle at the time of internal jugular vein needle and catheter insertion. We were required to continue going towards the subclavian vein and accidentally turned into the left internal mammary vein.

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Section: Discussionmentioning

confidence: 99%

A Rare Central Venous Catheter Malposition: A Case Report

et al. 2014

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“…But advocating ultrasonography guided central venous cannulation does have the potential for deskilling in the landmark technique that may be required in emergency situations or when equipment is not available. [14] The NICE committee also considered that although ultrasonography guidance in central venous catheterisation placement may eventually become the routine method for placing central venous catheterisations, the landmark method would remain important in some circumstances, such as emergency situations, when ultrasonography equipment &/or required expertise is not immediately available. The committee thus thought it important that operators maintain their ability to use landmark method & that the method continues to be taught alongside the ultrasonography guided technique.…”

Section: Resultsmentioning

confidence: 99%

Comparison between Ultrasound Guided Techniques and Conventional Anatomical Landmark Technique for Internal Jugular Vein Cannulation: A Clinical Prospective Study

Bhandari¹,

Mitra²,

Saxena³

et al. 2017

Ann. Int. Med. Den. Res.

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Background: Ultrasound-guided internal jugular vein (IJV) cannulation is known for increasing success rate and decreasing rate of complications. Aims: The aim of the study is to compared ultrasonography guided techniques namely ultrasound guided real time imaging for right IJV catheter insertion, ultrasound guided prelocation of right IJV catheterization with the classical anatomical landmark technique for right IJV cannulation in terms of success rate, time for cannulation and complications. Settings and Design: A prospective, randomized, observational study was conducted at a tertiy care hospital. Methods: One hundred twenty patients 40 in each group requiring IJV cannulation were included in this study and were randomly allocated in three groups. Number of attempts, success rate, venous access time, IJVcatheterization time, and complications were observed in each group. Statistical Analysis Used: All data were analysed by proper statistical test using SPSS-21, with the consultation of institutional statistician. Parametric values were taken as mean (SD), and nonparametric values were taken as median (range). For the inter-group comparison of parametric tests, their distributions were established and Student's t-test was implemented. Mann-Whitney U test was applied in nonparametric measurements. For all tests, p (probability) value of <0.05 was considered significant and p < 0.001 was considered as highly Significant. Results: Single attempt catheterization seen in 70% in Group A, 90% in Group B & 87.50% in Group C and it is significant. Failure is seen in 5% cases in Group A only. The time required for venous access was ranging a from 5 seconds to 110 seconds with mean time 24.25 sec in group A, ranging from 5 seconds to 30 seconds with mean time 16.12 sec in group B, time required for venous access was ranging from 5 seconds to 90 seconds with mean time 20.5 sec in group C study population. The result is significant (p-value 0.012). The time required for catheterization was ranging from 150 sec to 1500 sec with mean time 583.12 sec in group A, ranging from 200 sec to 900 sec with mean time 403.75 sec in group B, time required for catheterization was ranging from 200 sec to 1500 sec with mean time 410.0 sec in group C study population. However the result is not significant (p-value 0.123). Carotid artery puncture is seen in 22.5 %( group A), 0% (group B), 12.5% (group C). Pneumotthorax 2.5 % is seen in group A only. Haematoma and catheter malposition is not seen in any group. Conclusion: We found that the Real-time ultrasonography guidance provides a faster access, lesser number of attempt, lesser complication.

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“…Internal jugular vein is often the preferred vein catheterization for temporary hemodialysis in the ICU's, but some complications can be seen. Commonly reported complications include carotid artery puncture, arterial pseudoaneurysm, vascular injury, hemothorax, pneumothorax, thrombosis, stenosis, airway obstruction and infection (3). Ultrasoundguided catheterization has been reported to effectively decrease complications compared to conventional landmark technique (1,2).…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Mediastinal Hematoma as a Complication of Ultrasound-Guided Internal Jugular Vein Catheterization

et al. 2016

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Central venous catheterization is a frequently performed procedure in the intensive care units (ICU) for various treatments such as iv therapy, parenteral nutrition and hemodialysis but occasionally encountered complications can be fatal. Therefore, safe insertion with confirmation of correct positioning of the catheter is vital. Ultrasound (US)-guided insertion of catheters has been used widely, and its safety and efficacy have been demonstrated in several studies. However, this technique is not free from complications, such as carotid artery puncture, hemothorax, pneumothorax and infection. In this case, anterior mediastinal hematoma proceeded after USguided internal jugular vein (IJV) catheterization.

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The success rate and safety of internal jugular vein cannulation using anatomical landmark technique in patients undergoing cardiothoracic surgery

Cited by 16 publications

References 22 publications

A Rare Central Venous Catheter Malposition: A Case Report

A Rare Central Venous Catheter Malposition: A Case Report

Comparison between Ultrasound Guided Techniques and Conventional Anatomical Landmark Technique for Internal Jugular Vein Cannulation: A Clinical Prospective Study

Asymptomatic Mediastinal Hematoma as a Complication of Ultrasound-Guided Internal Jugular Vein Catheterization

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