Document Detail

Ultrasound-facilitated central venous cannulation.
MedLine Citation:
PMID:  1541105     Owner:  NLM     Status:  MEDLINE    
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.
E M Koski; M Suhonen; M A Mattila
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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    
Department of Anaesthesiology, Kuopio University Hospital, Finland.
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MeSH Terms
Catheterization, Central Venous / methods*
Evaluation Studies as Topic
Jugular Veins / ultrasonography
Middle Aged
Prospective Studies
Random Allocation

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

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