Ultrasound guided central venous cannulation in ICU: Retrospective analysis of a single center experience

Abstract

Background and Aims: Central venous cannulation is a common procedure in intensive care unit. Use of ultrasound guidance can decrease complications and increase successful cannulations.
 Methods: Patients who underwent ultrasound guided central venous cannulation over a duration of one year, in a single center, were analyzed retrospectively.
 Results: A total of 101 patients were analyzed. Internal jugular vein was cannulated in 84 (83.2%) and femoral vein was cannulated in 17 (16.8%) patients. Cannulation was successful in all cases. Elective cannulation was performed in 80 (79.2%) of patients and emergency cannulation was performed in 21 (20.8%) patients. Platelet count was less than 50000/cu mm in 30 (29.7%) patients and prothrombin time was more than 13 seconds in 84 (83.2%) patients. Cannulation was successfully performed in first attempt in 99 (98%) patients. None of the patients had arterial puncture, major bleeding, pneumothorax, arrhythmias or catheter malposition. One patient developed hematoma at the catheter insertion site.
 Conclusions: When performed by an experienced operator, ultrasound guidance can enhance safety and improve success for central venous cannulation.

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

“…Brachial plexus block in the forelimbs has a series of complications, including intravascular injections, intrapleural injections, and nerve damage. The use of ultrasound guidance is to reduce the occurrence of complications [ 29 , 30 ]. Under ultrasound guidance, the nerves block the brachial plexus, thereby paralyzing the forelimbs at the distal end of the elbow joint, which has a strong application effect for the operation of the distal elbow joint.…”