Ultrasound-guided central venous cannulation: is there a difference between Doppler and B-mode ultrasound?

Schummer, Wolfram; Schummer, Claudia; Tuppatsch, Heike; Fuchs, Jürgen; Bloos, Frank; Hüttemann, E.

doi:10.1016/j.jclinane.2005.12.010

Cited by 21 publications

(9 citation statements)

References 25 publications

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“…In our study, the number of attempts and complications of catheterization also increased in patients with higher BMI. In a study by Schummer et al more attempts were needed for catheter insertion in people with BMI over 30 kg/m² (24). This finding may be attributed to the peripheral obesity of these people that makes it harder to find the vein (21).…”

Section: Discussionmentioning

confidence: 99%

Success Rate and Complications of Internal Jugular Vein Catheterization With and Without Ultrasonography Guide

Karimi‐Sari¹,

Faraji²,

Torabi³

et al. 2014

Nurs Midwifery Stud

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Background: Central venous catheterization (CVC) is an important procedure in emergency departments (EDs). Despite existence of ultrasonography (US) devices in every ED, CVC is done using anatomical landmarks in many EDs in Iran. Objectives: This study aimed to compare the traditional landmark method vs. US-guided method of CVC placement in terms of complications and success rate. Patients and Methods: In this randomized controlled trial, patients who were candidate for internal jugular vein catheterization, and referred to Baqiyatallah Hospital ED were randomly allocated into US-guided CVC and anatomical landmarks guided CVC groups. Central vein access time, number of attempts, success rate, and complications in each group were evaluated. Mann-Whitney U, chi-square and Fisher exact tests along with Pearson and Spearman correlation coefficients were used to analyze the data. Results: Out of 100 patients, 56 were male and 44 were female. No significant differences were found between the US-guided and traditional landmark methods of CVC insertion in terms of age, gender, BMI, and site of catheter insertion. The mean access time was significantly lower in the US-guided group (37.12 ± 17.33 s vs. 63.42 ± 35.19 s, P < 0.001). The mean number of attempts was also significantly lower in the US-guided group (1.12 ± 0.3 vs. 1.58 ± 0.64 times, P < 0.001). Eighty-eight percent of patients in the US-guided group were catheterized in the first attempt, while 50% of patients in the traditional landmark group were catheterized in the second or more attempts (P < 0.001). The success rate was 100% in the US-guided group, while it was 88% in the landmark group (P = 0.013). Moreover, the rate of complications was significantly lower in the US-guided group (4% vs. 24%, P = 0.004). Conclusions:The US-guided method for CVC placement was superior to the traditional landmark method in terms of access time, number of attempts, success rate, and fewer complications.

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Section: Discussionmentioning

confidence: 99%

Success Rate and Complications of Internal Jugular Vein Catheterization With and Without Ultrasonography Guide

Karimi‐Sari¹,

Faraji²,

Torabi³

et al. 2014

Nurs Midwifery Stud

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“…High-resolution ultrasound and accurate needle visualisation allow such collateral structures to be identified and avoided. The artery behind the vein vertebral artery (VA) is the thyro cervical trunk (a major branch of the subclavian artery), which is clearly vulnerable if the vein is transfixed out of plane by a needle in this area Doppler imaging is regarded as an advanced ultrasound skill [42] without improving success [44].…”

Section: Recommendationsmentioning

confidence: 99%

International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

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“…Successful catheterization rate in the first attempt was 85% in Group 1 (SAG) compared to 63 -100% in other investigations (8,9,13,(15)(16)(17)(18)(19)(20). In addition, successful catheterization rate in the second attempt was 5% in Group 1 (SAG) and 2 -10% in other studies (14,16).…”

Section: Discussionmentioning

confidence: 64%

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Kamalipour¹,

Shahbazi²,

Derakhshan³

et al. 2015

Int Cardiovasc Res J

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A B S T R A C TBackground: Although some investigations have shown higher rates of successful first attempt and fewer attempts by using ultrasound-guided Internal Jugular Vein (IJV) catheterization, arterial puncture is still common. Objectives: The present study aimed to investigate US-guided catheterization of the right IJV via medial-oblique technique and also compare this technique to short-axis technique in open-heart surgery patients. Patients and Methods: In this randomized clinical trial, 80 patients referred to cardiac operating room of Namazi hospital, Shiraz, Iran from March to July 2014 were selected using census method. Block randomization with website was also done. Then, the patients were divided into two groups of 40, Short Axis Group (SAG) and Medial-Oblique Group (M-OG). For short-axis technique, patient's head was positioned at zero degree angulation with his trunk. For medial-oblique technique, on the other hand, patient's head was tilted to left to 45 degrees between the head and trunk. Sex, age, Body Mass Index (BMI), access time, guidewire time, cannulation time, total attempts for catheterization, first, second, and third attempt success, arterial puncture, hematoma, bleeding, and catheter malposition were recorded. The overlap between the carotid artery and IJV in zero-and 45-degree angulation was estimated through ultrasound print. After all, Kolmogorov-Smirnov test was used to assess normal distribution of the data. Then, the data were analyzed through Student's t-test, Mann-Whitney U test, and chi-square test. P < 0.05 was considered as statistically significant. Results:The results showed no significant differences between the two groups regarding the duration of different catheterization steps (P = 0.376). In all the cases in both groups, accessing the vein was successful with three attempts or less. There were no clinical complications of catheterization in the two groups. The mean of overlap was 23.60 ± 33.47 in zero-degree angulation between the head and trunk and 32.72 ± 36.38 in 45-degree angulation and this difference was statistically significant (P = 0.001). Conclusions:The results of the present study showed that both US-guided techniques under investigation had the same duration in different catheterization steps, total success rate, and primary mechanical complications, and could be used in clinics.

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Ultrasound-guided central venous cannulation: is there a difference between Doppler and B-mode ultrasound?

Cited by 21 publications

References 25 publications

Success Rate and Complications of Internal Jugular Vein Catheterization With and Without Ultrasonography Guide

Success Rate and Complications of Internal Jugular Vein Catheterization With and Without Ultrasonography Guide

International evidence-based recommendations on ultrasound-guided vascular access

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

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