A Comparative Study between Ultrasound Guided Catheterization of the Internal Jugular Vein and Classical Land Mark Technique.
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Date
2014-10
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Abstract
Background: Catheterization of Internal Jugular Vein (IJV) is commonly attempted to obtain central venous
access for hemodynamic monitoring, long term administration of fluids, total parenteral nutrition and
hemodialysis in critical care patients. The safe puncture of the IJV is achieved by using anatomical land marks
on skin surface. Ultrasound guidance could be beneficial in placing central venous catheters by improving the
success rate, reducing the number of needle passes, decreasing access time and decreasing complications.
Material andMethods: Sixty critical care patientswere selected for IJV cannulation either by landmark technique
or by ultrasound guided technique in two groups of thirty each.
Results: In our study there was 100% success rate for first attempt cannulation in USG technique and where as
it was 83.3% in LMG technique. The mean access time in USG technique was 152.50 ± 63.90 sec as against
323.23 ± 146.19 sec in LMG group.
Conclusion: Ultrasound guided technique improves the cannulation of the IJV with respect to safety, rapidity
and comfort to the patient during the procedure.
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Keywords
Central venous cannulation, Internal Jugular Vein, Land marks, Ultrasound
Citation
Henjarappa K S, Havaldar Pavan P, Shaik Hussain Saheb. A Comparative Study between Ultrasound Guided Catheterization of the Internal Jugular Vein and Classical Land Mark Technique. International Journal of Anatomy and Research. 2014 Oct-Dec; 2(4): 757-760.