Document Detail

Comparison of three techniques for internal jugular vein cannulation in infants.
MedLine Citation:
PMID:  11012954     Owner:  NLM     Status:  MEDLINE    
Central venous cannulation allows accurate monitoring of right atrial pressure and infusion of drugs during the anaesthetic management of infants undergoing cardiopulmonary bypass. In this prospective, randomized study, we compared the success and speed of cannulation of the internal jugular vein in 45 infants weighing less than 10 kg using three modes of identification: auditory signals from internal ultrasound (SmartNeedle, SM), external ultrasound imaging (Imaging Method, IM) and the traditional palpation of the carotid pulsation and other landmarks (Landmarks Method, LM). The cannulation time, number of attempts with LM and SM techniques were greater than those with IM technique. The incidence of carotid artery puncture and the success rate were not significantly different among the three groups. In infants, a method based on visual ultrasound identification (IM) of the internal jugular vein is more precise and efficient than methods based on auditory (SM) and tactile perception (LM).
S T Verghese; W A McGill; R I Patel; J E Sell; F M Midgley; U E Ruttimann
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  10     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2000  
Date Detail:
Created Date:  2000-10-19     Completed Date:  2000-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  505-11     Citation Subset:  IM    
Departments of Anesthesiology, Cardiothoracic Surgery and Pediatrics, Children's National Medical Center and George Washington University, Washington, DC, USA.
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MeSH Terms
Cardiac Surgical Procedures
Carotid Arteries / ultrasonography
Catheterization, Central Venous / adverse effects,  methods*
Child, Preschool
Jugular Veins / physiology*,  ultrasonography
Prospective Studies

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