Comparative Sonoanatomy of Classic “Short Axis” Probe Position with a Novel “Medial-oblique” Probe Position for Ultrasound-guided Internal Jugular Vein Cannulation: A Crossover Study

Baidya, Dalim Kumar; Chandralekha,; Darlong, Vanlal; Pandey, Ravinder Kumar; Goswami, Devalina; Maitra, Souvik

doi:10.1016/j.jemermed.2014.07.062

Cited by 14 publications

(12 citation statements)

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“…A randomized crossover study reported significantly less overlap between the internal jugular vein and carotid artery using an oblique view compared to a transverse view; however, this study did not assess clinical outcomes of various approaches to central venous access. 12 Wilson and colleagues reported no statistically significant differences in posterior vessel wall puncture, number of attempts, or skin-to-vein time in residents and attendings using the oblique approach compared to the transverse approach in simulated models. 13 However, participants reported greater confidence in the needle tip being located in the lumen of the vein when using the oblique approach.…”

Section: Discussionmentioning

confidence: 99%

Residents' Preferences and Performance of Three Techniques for Ultrasound-Guided Central Venous Cannulation After Simulation Training

Caffery

Jagneaux

Jones

et al. 2018

TOJ

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Section: Discussionmentioning

confidence: 99%

Residents' Preferences and Performance of Three Techniques for Ultrasound-Guided Central Venous Cannulation After Simulation Training

Caffery

Jagneaux

Jones

et al. 2018

TOJ

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“…However, a growing number of scholars advocate for the OA‐IP technique. For example, Baidya et al 20 showed that the medial‐oblique probe position for IJV cannulation provides sonoanatomic superiority over the classic SA probe position. Batllori et al 10 demonstrated that OA showed a higher first‐needle‐pass success rate than LA, in addition to a lower mechanical complications rate than SA.…”

Section: Discussionmentioning

confidence: 99%

Real‐time ultrasound‐guided internal jugular vein cannulation by oblique‐axis in‐plane: Practice at the Fourth Hospital of Hebei Medical University

et al. 2020

Int J Clin Pract

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Objective We aimed to evaluate oblique‐axis in‐plane (OA‐IP) techniques for real‐time ultrasound‐guided internal jugular vein (IJV) cannulation. Methods We retrospectively analysed 1065 patients who underwent ultrasound (US)‐guided IJV cannulation. We recorded demographic characteristics of patients, success rate, access time, cannulation time, number of attempts and the incidence of acute complications. Results The overall success rate of the procedure was 100% (n = 1605). In total, 1594 cases (99.3%) were successful at the first attempt, and 11 (0.7%) were successful at the second attempt; no patient required three or more attempts. The mean access time was 18.7 ± 19.3 seconds. The mean cannulation time was 349.0 ± 103.8 seconds. There were 54 (3.4%) acute complications out of the total 1605 cannulations: 23 cases of puncture site bleeding (1.4%), 20 cases allergic to dressing (1.3%), 10 cases of local cervical hematomas (0.6%), and one catheter misplacement (0.1%). There were no major complications 12 hours following the procedure. Conclusions The results of our study suggest that OA‐IP techniques can improve ultrasound‐guided IJV cannulation with a high success rate and safety in clinical practice. Clinicians should consider adopting these methods.

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“…So, a longer length of IJV is being scanned in oblique axis, which will increase effective transverse diameter and reduce the overlapping between IJV and carotid artery. 15 Overlapping between IJV and carotid artery is common in USG, and classic anatomy of IJV being lateral to the carotid artery is seen only in 10% of the patients. 15,16…”

Section: Discussionmentioning

confidence: 99%

“…15 Overlapping between IJV and carotid artery is common in USG, and classic anatomy of IJV being lateral to the carotid artery is seen only in 10% of the patients. 15,16…”

Section: Discussionmentioning

confidence: 99%

Comparison of long-, short-, and oblique-axis approaches for ultrasound-guided internal jugular vein cannulation: A network meta-analysis

2019

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Background: Comparison between various approaches of ultrasound (USG)-guided internal jugular vein cannulation, that is, short-axis out-of-plane approach, long-axis in-plane approach, and oblique-axis approach, is sparse. In this network meta-analysis of randomized controlled trials, all three approaches were evaluated to identify the best technique for USG-guided internal jugular vein cannulation. Methods: Randomized controlled trials comparing short-axis out-of-plane approach, long-axis in-plane approach, and oblique-axis approach in any combination (i.e. comparison of any two or all three) for USG-guided internal jugular vein cannulation were included in this meta-analysis. Bayesian network meta-analysis was conducted with a non-informative prior effect size and heterogeneity, and all results were reported as posterior median odds ratio with 95% credible interval. Results: Data of 658 patients from five randomized controlled trials were included in this meta-analysis. No difference was obtained in first attempt success rate of cannulation in three approaches (posterior median odds ratio between long-axis and short-axis view, oblique-axis and short-axis view, and long-axis and oblique-axis view were 0.67 (0.20, 2.08), 0.92 (0.09, 4.790), and 1.3420 (0.1680, 6.7820), respectively). No difference was seen in the incidence of carotid artery puncture and overall success rate of cannulation. Conclusion: All three commonly used approaches for USG-guided internal jugular vein cannulation, that is, short axis, long axis, and oblique axis, are comparable in terms of clinical utility and safety. There is insufficient evidence to recommend one approach over another for this purpose.

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Comparative Sonoanatomy of Classic “Short Axis” Probe Position with a Novel “Medial-oblique” Probe Position for Ultrasound-guided Internal Jugular Vein Cannulation: A Crossover Study

Cited by 14 publications

References 10 publications

Residents' Preferences and Performance of Three Techniques for Ultrasound-Guided Central Venous Cannulation After Simulation Training

Residents' Preferences and Performance of Three Techniques for Ultrasound-Guided Central Venous Cannulation After Simulation Training

Real‐time ultrasound‐guided internal jugular vein cannulation by oblique‐axis in‐plane: Practice at the Fourth Hospital of Hebei Medical University

Comparison of long-, short-, and oblique-axis approaches for ultrasound-guided internal jugular vein cannulation: A network meta-analysis

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