Document Detail


Ultrasound-facilitated central venous cannulation.
MedLine Citation:
PMID:  1541105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the conventional method for cannulation of the internal jugular vein with the ultrasound-aided technique. DESIGN: Prospective, randomized trial. SETTING: Medical and surgical patients requiring central cannulation in a university hospital. PATIENTS: Consecutive medical and surgical patients in whom central venous cannulation was indicated. INTERVENTIONS: Cannulation of the internal jugular vein was performed by one anesthesiologist. During the first 6 months, the ultrasound-aided technique (n = 29) was used, and during the second 6 months, the conventional technique (n = 27) was applied. MEASUREMENTS AND MAIN RESULTS: The venous lumen was reached with fewer punctures (1.2 +/- 0.5 vs. 3.3 +/- 3.0 punctures per patient) and the cannulation time was shorter (35 +/- 19 vs. 198 +/- 211 secs) while using the ultrasound-aided technique. The ultrasound-aided method showed that the large-bore (diameter greater than 2.0 mm) needles invariably perforated the medial wall of the internal jugular vein, increasing the risk of perforating the adjacent carotid artery. CONCLUSIONS: Ultrasound guidance reduces both the duration of time and the number of punctures required to cannulate the internal jugular vein. The Seldinger technique appears safer for catheterization of the internal jugular vein.
Authors:
E M Koski; M Suhonen; M A Mattila
Related Documents :
17336555 - Embolisation of symptomatic pelvic veins in women presenting with non-saphenous varicos...
9813645 - Spiral structures in the wall of the hepatic venous system in the dog.
18377715 - Clinical anatomic study of the lower lumbar anterolateral vein: with respect to retrope...
9370185 - Complications associated with insertion of jugular venous catheters for hemodialysis: t...
19962055 - Percutaneous techniques for mitral valve disease.
23493955 - Pasturella multicoda infection of an abdominal aortic endograft.
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Critical care medicine     Volume:  20     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-04-08     Completed Date:  1992-04-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  424-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesiology, Kuopio University Hospital, Finland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous / methods*
Evaluation Studies as Topic
Female
Humans
Jugular Veins / ultrasonography
Male
Middle Aged
Prospective Studies
Random Allocation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Experimental study of high-frequency two-way jet ventilation.
Next Document:  Transesophageal echocardiographic findings in patients with orthotopic heart transplantation.