Long versus short axis ultrasound guided approach for internal jugular vein cannulation: a prospective randomised controlled trial.

Hdl Handle:
http://hdl.handle.net/10147/139849
Title:
Long versus short axis ultrasound guided approach for internal jugular vein cannulation: a prospective randomised controlled trial.
Authors:
Chittoodan, Suresh; Breen, Dorothy; O'Donnell, Brian D; Iohom, Gabrielle
Affiliation:
Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton Road, Cork, Ireland.
Citation:
Long versus short axis ultrasound guided approach for internal jugular vein cannulation: a prospective randomised controlled trial. 2011, 13 (1):21-5 Med Ultrason
Journal:
Medical ultrasonography
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/139849
PubMed ID:
21390339
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21390339
Abstract:
The aim of this study was to compare the short and long axis approaches to ultrasound guided right internal jugular vein cannulation with respect to indicators of success.; Patients undergoing cardiac surgery requiring central venous cannulation (99 patients) were randomised to undergo either long or short axis ultrasound guided cannulation of the right internal jugular vein by a skilled anaesthetist. First pass success, number of needle passes, procedural taken and complications were documented for each procedure.; The right internal jugular vein was successfully cannulated in all 99 patients. The first pass success rate was significantly higher in the short axis 98% group compared to the long axis group 78% [48:1 (98%) versus 39:11 (78%) p <0.006]. Procedural time was comparable in both the groups [39.6 (18.4) versus 46.9 (42.4)]. Fewer needle redirections were required in the short axis group [1.02 (0.02) versus 1.24 (0.56) p <0.004]. Carotid artery puncture only occurred in the long axis group.; We conclude that anaesthetists with experience in ultrasound guided internal jugular vein cannulation, have higher first pass success rate and less carotid artery puncture when a short axis, rather than a long axis, approach is employed.
Item Type:
Article
Language:
en
MeSH:
Catheterization; Female; Humans; Jugular Veins; Male; Middle Aged; Prospective Studies; Treatment Outcome; Ultrasonography, Interventional
ISSN:
2066-8643

Full metadata record

DC FieldValue Language
dc.contributor.authorChittoodan, Sureshen
dc.contributor.authorBreen, Dorothyen
dc.contributor.authorO'Donnell, Brian Den
dc.contributor.authorIohom, Gabrielleen
dc.date.accessioned2011-08-16T15:36:20Z-
dc.date.available2011-08-16T15:36:20Z-
dc.date.issued2011-03-
dc.identifier.citationLong versus short axis ultrasound guided approach for internal jugular vein cannulation: a prospective randomised controlled trial. 2011, 13 (1):21-5 Med Ultrasonen
dc.identifier.issn2066-8643-
dc.identifier.pmid21390339-
dc.identifier.urihttp://hdl.handle.net/10147/139849-
dc.description.abstractThe aim of this study was to compare the short and long axis approaches to ultrasound guided right internal jugular vein cannulation with respect to indicators of success.-
dc.description.abstractPatients undergoing cardiac surgery requiring central venous cannulation (99 patients) were randomised to undergo either long or short axis ultrasound guided cannulation of the right internal jugular vein by a skilled anaesthetist. First pass success, number of needle passes, procedural taken and complications were documented for each procedure.-
dc.description.abstractThe right internal jugular vein was successfully cannulated in all 99 patients. The first pass success rate was significantly higher in the short axis 98% group compared to the long axis group 78% [48:1 (98%) versus 39:11 (78%) p <0.006]. Procedural time was comparable in both the groups [39.6 (18.4) versus 46.9 (42.4)]. Fewer needle redirections were required in the short axis group [1.02 (0.02) versus 1.24 (0.56) p <0.004]. Carotid artery puncture only occurred in the long axis group.-
dc.description.abstractWe conclude that anaesthetists with experience in ultrasound guided internal jugular vein cannulation, have higher first pass success rate and less carotid artery puncture when a short axis, rather than a long axis, approach is employed.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21390339en
dc.subject.meshCatheterization-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshJugular Veins-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshProspective Studies-
dc.subject.meshTreatment Outcome-
dc.subject.meshUltrasonography, Interventional-
dc.titleLong versus short axis ultrasound guided approach for internal jugular vein cannulation: a prospective randomised controlled trial.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton Road, Cork, Ireland.en
dc.identifier.journalMedical ultrasonographyen
dc.description.provinceMunster-

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