Improvement of internal jugular vein cannulation using an ultrasound-guided technique

Slama, Michel; Novara, Ana; Safavian, A.; Ossart, M; Safar, Michel; Fagon, Jean-Yves

doi:10.1007/s001340050432

Cited by 160 publications

(94 citation statements)

References 18 publications

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“…The range of experience, both with respect to the medical career and use of the intervention, differed greatly from study to study. Six studies described the operators as having up to 5 years postgraduate experience, 25,27,35,37,38,41 eight as having more than 5 years, 5,10,26,28,[32][33][34]39 and two as varying in experience. 6,31 Four trials did not record the career experience of the operator.…”

Section: Number and Type Of Studies Includedmentioning

confidence: 99%

“…In three studies, 27,37,41 the operators were inexperienced both with ULD guidance and with the landmark method. In a further six studies, 6,25,26,34,35,38 the operators were inexperienced with ULD guidance and did not refer to their relative experience with the landmark method. Where this inexperience was defined, it was only in one study 35 where the operator had cannulated more than ten (but less than 30) patients with the ULD.…”

Section: Number and Type Of Studies Includedmentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Calvert

Hind

McWilliams

et al. 2003

Health Technol Assess

101

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Section: Number and Type Of Studies Includedmentioning

confidence: 99%

Section: Number and Type Of Studies Includedmentioning

confidence: 99%

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Calvert

Hind

McWilliams

et al. 2003

Health Technol Assess

101

View full text Add to dashboard Cite

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“…14 Another option to facilitate behavioral change would be to provide a portable ultrasound machine, as requested by our residents, which may reduce complication rates. 15,16 At our hospital, we decided to supplement hands-on training with expert bedside supervision during catheter insertion; the expert is provided through a procedure service that is led by hospitalists. The procedure service has a dedicated portable ultrasound machine to assist with internal jugular vein cannulation.…”

Section: Discussionmentioning

confidence: 99%

Firm‐based trial to improve central venous catheter insertion practices

Miranda

Trick

Evans

et al. 2007

Journal of Hospital Medicine

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BACKGROUNDCentral venous catheters placed in femoral veins increase the risk of complications. At our institution, residents place most catheters in the femoral vein.OBJECTIVEDetermine whether a hands‐on educational session reduced femoral venous catheterization and improved residents' confidence and adherence to recommendations for infection control.DESIGNFirm‐based clinical trial between November 2004 and March 2005.SETTINGGeneral medical wards of Cook County (Stroger) Hospital (Chicago, IL), a public teaching hospital.PARTICIPANTSInternal medicine residents (n = 150).INTERVENTIONBefore their 4‐week rotation, intervention‐firm residents received a lecture and practiced placing catheters in mannequins; control‐firm residents received the usual training.MEASUREMENTSVenous insertion site, adherence to recommendations for infection control, knowledge and confidence about catheter insertion, and catheter‐associated complicationsRESULTSResidents inserted 54 catheters, or 0.24 insertions per resident per 4‐week rotation. There was a nonsignificant decrease in femoral insertions for nondialysis catheters in the intervention group compared to the control group (44% vs. 58%), difference: −14% (95% CI, −52% to 24%). The intervention significantly increased residents' knowledge of complications related to femoral vein catheterization and temporarily increased their confidence about placing internal jugular or subclavian venous catheters. Intervention‐group residents were more likely to use masks during catheterization (risk ratio, 2.2; 95% CI, 1.3‐2.7), but other practices were similar.CONCLUSIONSOur intervention improved residents' knowledge of complications and use of masks during catheter insertion; however, it did not significantly change venous insertion sites. Catheter insertions on our general medicine wards are infrequent, and the skills acquired during the skills‐building session may have deteriorated given the few clinical opportunities for reinforcement. Journal of Hospital Medicine 2007;2:135–142. © 2007 Society of Hospital Medicine.

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“…These include pneumothorax, hemothorax, air embolization, chylothorax, carotid or subclavian artery puncture and hemostasis control in children who have bleeding diatheses (Gauderer, 1992;Stovroff and Teague, 1998). Improvement of subclavian and internal jugular vein percutaneous cannulation using ultrasound-guided technique appears to distinguish arterial from venous flow, but it can be unsuccessful and has not been shown to reduce the incidence of complications (Lobe et al, 1993;Nosher et al, 1994;Slama et al, 1997). Albeit rare, lethal complications have also been described even if central catheter placement is performed as an elective procedure in expertised hands (Bagwell et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Central venous access through the external jugular vein in children submitted to bone marrow transplantation

Godoy

Otta

Miyazaki

et al. 2005

Braz. arch. biol. technol.

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Establishment of long-term central venous access is a sine qua non step for bone marrow transplantation in children. Most frequently, long-term central venous access has been obtained via blind percutaneous cannulation of subclavian and internal jugular veins or via internal jugular vein cutdown. In order to avoid some potential minor and major complications associated with the subclavian or internal jugular approaches, the authors describe an easy, simple and safe method for central venous access through an external jugular vein cutdown that should be of interest to readers involved in the field of bone marrow transplantation. It should be also considered for children as well as adults needing central venous access via an external catheter -or totally implantable port -for reasonsother than bone marrow transplantation, such as total parenteral nutrition and administration of chemotherapeutic agents.

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Improvement of internal jugular vein cannulation using an ultrasound-guided technique

Abstract: Ultrasound guidance improved the success rate of jugular vein cannulation in ICU patients. Our results suggest that ultrasound guidance should be used when the internal jugular vein has not been successfully cannulated within 3 min by the external landmark-guided technique.

Cited by 160 publications

References 18 publications

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Firm‐based trial to improve central venous catheter insertion practices

Central venous access through the external jugular vein in children submitted to bone marrow transplantation

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