Document Detail


A randomized trial of ultrasound image-based skin surface marking versus real-time ultrasound-guided internal jugular vein catheterization in infants.
MedLine Citation:
PMID:  18073546     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Ultrasound-guided central venous catheterization has been recommended to increase the procedural success rate and enhance patient safety. However, few studies have examined the potential advantages of one ultrasound technique with another, specifically in small infants. METHODS: The authors randomly assigned 60 neonates and infants weighing less than 7.5 kg to an ultrasound-guided skin-marking method (n = 27) versus real-time ultrasound-assisted internal jugular venous catheterization (n = 33). The times to successful puncture of the internal jugular vein and to catheterization were measured. Attempts at needle punctures for successful catheterization were counted. Procedural complications were recorded. RESULTS: In the real-time group, compared with the skin- marking group, venous puncture was completed faster (P = 0.03), the time required to catheterize was shorter (P < 0.01), and fewer needle passes were needed. Specifically, fewer than three attempts at puncture were made in 100% of patients in the real-time group, versus 74% of patients in the skin-marking group (P < 0.01). A hematoma and an arterial puncture occurred in one patient each in the skin-marking group. CONCLUSIONS: The real-time ultrasound guidance method could enhance procedural efficacy and safety of internal jugular catheterization in neonates and infants.
Authors:
Koji Hosokawa; Nobuaki Shime; Yuko Kato; Satoru Hashimoto
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Anesthesiology     Volume:  107     ISSN:  0003-3022     ISO Abbreviation:  Anesthesiology     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-12-12     Completed Date:  2008-01-15     Revised Date:  2008-06-17    
Medline Journal Info:
Nlm Unique ID:  1300217     Medline TA:  Anesthesiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  720-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, University Hospital, Kyoto Prefectural School of Medicine, Kyoto, Japan.
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous / adverse effects,  methods*
Female
Humans
Infant
Infant, Newborn
Intraoperative Care / methods,  statistics & numerical data
Jugular Veins / ultrasonography*
Male
Prospective Studies
Punctures / adverse effects,  statistics & numerical data
Safety
Skin*
Time Factors
Ultrasonography / methods*
Comments/Corrections
Comment In:
Anesthesiology. 2008 Jun;108(6):1155-6; author reply 1156-7   [PMID:  18497626 ]

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


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