| Safety of a training program for ultrasound-guided internal jugular vein catheterization in critically ill patients. | |
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MedLine Citation:
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PMID: 21876919 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Evaluate the safety and effectiveness of a training program for performing ultrasound-guided internal jugular vein cannulation in critically ill patients. METHODS: Cohort prospective study, evaluating adult patients admitted in a teaching intensive care unit (ICU). Catheter placement was performed by an ICU medical resident. The patient's baseline characteristics, vessel's position and operator experience were the evaluated variables. The main outcomes were cannulation success rate and incidence of major complications. RESULTS: A total of 118 consecutive patients were enrolled between May 2008 and November 2009. The success rate of ultrasound guided catheter placement was 90% (106/118), 77% in the first attempt. Major complications occurred in 4% of the cases (n = 5) and were not associated with the analyzed variables. Inability to place the guide wire was the reason for 58% (7/12) of the failures. Operators with more than 15 previous ultrasound guided cannulations had an increased success rate (95% vs. 79%, p = 0.01) and increased failure was related to previous catheterization (26% vs. 7%, p = 0.02). CONCLUSION: Learning ultrasound guidance for IJV vein cannulation was safe and feasible in ICU patients. This process was not associated to complications and better results were achieved across the spectrum of operator experience. |
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Authors:
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Felippe Leopoldo Dexheimer Neto; Cíntia Roehrig; Paola Morandi; Roselaine Pinheiro de Oliveira; Cassiano Teixeira; Juçara Gasparetto Maccari; Andre Luiz da Silva Alencastro; Régis Bueno Albuquerque; Eubrando Silvestre Oliveira |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Revista da Associação Médica Brasileira (1992) Volume: 57 ISSN: 0104-4230 ISO Abbreviation: Rev Assoc Med Bras Publication Date: 2011 Jul-Aug |
Date Detail:
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Created Date: 2011-08-30 Completed Date: 2012-02-27 Revised Date: 2012-04-11 |
Medline Journal Info:
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Nlm Unique ID: 9308586 Medline TA: Rev Assoc Med Bras Country: Brazil |
Other Details:
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Languages: eng Pagination: 394-7 Citation Subset: IM |
Affiliation:
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Adult Intensive Care Center, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil. fdneto@tj.rs.gov.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Catheterization, Central Venous / methods* Chi-Square Distribution Critical Care / methods Critical Illness / therapy Education, Medical Female Humans Jugular Veins / surgery* Male Middle Aged Program Evaluation Prospective Studies Punctures / methods Reproducibility of Results Risk Factors Treatment Failure Ultrasonography, Interventional / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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