A comparative study of safety and efficacy of ultrasound-guided infra-clavicular axillary vein cannulation versus ultrasound-guided internal jugular vein cannulation in adult cardiac surgical patients

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dc.contributor.authorShinde, Prajakta Den_US
dc.contributor.authorJasapara, Amishen_US
dc.contributor.authorBansode, Kishanen_US
dc.contributor.authorBunage, Rohiten_US
dc.contributor.authorMulay, Anvayen_US
dc.contributor.authorShetty, Vijay Len_US
dc.date.accessioned2019-12-02T09:45:42Z
dc.date.available2019-12-02T09:45:42Z
dc.date.issued2019-04
dc.description.abstractBackground: Ultrasound (US)-guided internal jugular vein (IJV) cannulation is a widely accepted standard procedure. The axillary vein (AV) in comparison to the subclavian vein is easily visualized, but its cannulation is not extensively studied in cardiac patients. Aims: This study is an attempt to study the efficacy of real-time US-guided axillary venous cannulation as a safe alternative for the time-tested US-guided IJV cannulation. Design: This is a prospective randomized controlled study. Materials and Methods: A total of 100 adult patients scheduled for cardiac surgery were divided equally in Group A-US-guided IJV cannulation, and Group B-US-guided axillary venous cannulation. Under local anesthesia and real-time US guidance the IJV or AV was secured. The access time, guidewire time, and procedure time were noted. Furthermore, the number of needle attempts, malposition, change of site, and complications were noted. Results: The data were analyzed for 49 patients in Group A and 48 patients in the Group B due to exclusions. The access time and the guidewire time were comparable in both groups. The first attempt needle puncture was successful for the IJV group in 98% of patients in comparison to 95% of patients in Group B. Guidewire was passed in the first attempt in 94% in Group A and 89% in the Group B. Except for arterial puncture in one case in group A, the complications were insignificant in both groups. Conclusion: The study shows that the US-guided AV cannulation may serve as an effective alternative to the IJV cannulation in cardiac surgery.en_US
dc.identifier.affiliationsDepartment of Anaesthesiology and Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, Fortis Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationShinde Prajakta D, Jasapara Amish, Bansode Kishan, Bunage Rohit, Mulay Anvay, Shetty Vijay L. A comparative study of safety and efficacy of ultrasound-guided infra-clavicular axillary vein cannulation versus ultrasound-guided internal jugular vein cannulation in adult cardiac surgical patients. Annals of Cardiac Anaesthesia. 2019 Apr; 22(2): 177-186en_US
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/185876
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume22en_US
dc.source.urihttps://dx.doi.org/10.4103/aca.ACA_24_18en_US
dc.subjectAnesthesiaen_US
dc.subjectaxillary veinen_US
dc.subjectultrasounden_US
dc.titleA comparative study of safety and efficacy of ultrasound-guided infra-clavicular axillary vein cannulation versus ultrasound-guided internal jugular vein cannulation in adult cardiac surgical patientsen_US
dc.typeJournal Articleen_US
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