Combined Approach Versus 2 Conventional Approaches in Ultrasound-Guided Central Venous Catheterization: A Randomized Controlled Trial

Takeshita, Jun; Nishiyama, Kei; Fukumoto, Atsushi; Shime, Nobuaki

doi:10.1053/j.jvca.2019.03.051

Cited by 18 publications

(26 citation statements)

References 30 publications

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“…In order to do this, a layer of complexity with the medial-oblique, 30 angle is added. This modification makes this technique quite different in nature than the SAX-LA combined technique proposed by Takeshita et al, 9 in which the SAX and the LA views are obtained sequentially. Obtaining the medial-oblique image may not be possible with all anatomies, especially in patients with venous collateral formation.…”

Section: Nuances Of Ultrasound Approachesmentioning

confidence: 99%

“…Similarly, diagnosis of PWP is something that plagues all studies concerning this issue. Takeshita et al 9 defined PWP as "no blood return was confirmed after advancing the needle further to the vein, and subsequent blood return was confirmed on withdrawal." Previously, Srinivasan et al assessed for PWP by a second investigator who followed the needle path using real-time ultrasound.…”

Section: Pwp: Risks and Incidencementioning

confidence: 99%

“…In both the Takeshita et al 9,11 studies referenced herein, minimization of PWP was the main assessment end point. Both investigations defined PWP as the non-return of blood after initial positive aspiration.…”

Section: Minimization Of Pwpmentioning

confidence: 99%

“…[3][4][5] Despite the vast evolution of ultrasound utilization, there still remains much controversy about specific techniques when performing internal jugular venous access. [6][7][8] Takeshita et al 9 attempted to bridge some of the gaps in ultrasound practice for ultrasound-guided placement of internal jugular vein catheters in this issue of the Journal of Cardiothoracic and Vascular Anesthesia. The authors performed a prospective, randomized, unblinded study in 120 patients (40 per group) of 3 different techniques of using surface ultrasound to obtain right internal jugular vein access.…”

mentioning

confidence: 99%

“…In contrast, needle imaging by ultrasound is defined as "in plane" or "out of plane" on the basis of the positional relationship between the axis of the needle and the plane of the ultrasound beam. 10 In the study by Takeshita et al, 9 the combined SAX-LA technique consisted of initially visualizing the vein in the SAX view. Puncturing was initiated using the SAX, out-of-plane view.…”

mentioning

confidence: 99%

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Best Practice in Ultrasound-Guided Internal Jugular Vein Cannulation: The Debate Echoes On

Flynn

Mensch

2019

Journal of Cardiothoracic and Vascular Anesthesia

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Section: Nuances Of Ultrasound Approachesmentioning

confidence: 99%

Section: Pwp: Risks and Incidencementioning

confidence: 99%

Section: Minimization Of Pwpmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Best Practice in Ultrasound-Guided Internal Jugular Vein Cannulation: The Debate Echoes On

Flynn

Mensch

2019

Journal of Cardiothoracic and Vascular Anesthesia

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Comparing short‐axis versus long‐axis ultrasound‐guided techniques for internal jugular vein cannulation: A meta‐analysis of clinical outcomes and safety

AlGhamdi,

AlJoaib,

Aldawood

et al. 2024

Australas J Ultrason Med

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IntroductionCentral venous access plays a crucial role in various clinical settings, and ultrasound guidance has become increasingly popular for improving its safety and success rates. The aim of this meta‐analysis was to compare the short‐axis (SAX) and long‐axis (LAX) ultrasound‐guided techniques for internal jugular vein (IJV) cannulation in terms of first needle pass success rate, number of cannulation attempts, access time, guidewire insertion time, posterior IJV wall puncture, arterial puncture, haematoma and catheter‐related bloodstream infection.MethodsA comprehensive literature search was conducted, and randomised controlled trials (RCTs) comparing SAX and LAX techniques for IJV cannulation on adults were included.ResultsA total of 11 RCTs involving 1183 patients were included in the meta‐analysis. The SAX technique demonstrated a significantly greater first needle pass success rate and faster IJV access time compared to the LAX technique. However, more posterior IJV wall puncture was significantly associated with the SAX technique. There was no significant difference between the two techniques in terms of number of cannulation attempts, guidewire insertion time, arterial puncture, haematoma and catheter‐related bloodstream infection.ConclusionThis meta‐analysis suggests that the SAX technique may have advantages over the LAX technique in terms of first needle pass success rate and potentially reducing cannulation attempts and access time. However, the occurrence of posterior IJV wall puncture raises concerns. The decision on the choice of technique should be based on individual patient factors and operator proficiency.

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Modified combined short and long axis method (MCSL) for safe internal jugular vein catheterization

Wang

Nian

Tang

et al. 2021

Journal of Clinical Anesthesia

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Combined Approach Versus 2 Conventional Approaches in Ultrasound-Guided Central Venous Catheterization: A Randomized Controlled Trial

Cited by 18 publications

References 30 publications

Best Practice in Ultrasound-Guided Internal Jugular Vein Cannulation: The Debate Echoes On

Best Practice in Ultrasound-Guided Internal Jugular Vein Cannulation: The Debate Echoes On

Comparing short‐axis versus long‐axis ultrasound‐guided techniques for internal jugular vein cannulation: A meta‐analysis of clinical outcomes and safety

Modified combined short and long axis method (MCSL) for safe internal jugular vein catheterization

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