Internal jugular vein cannulation: How much safety can we offer?

Abstract

a b s t r a c tIntroduction: Central venous catheterization, performed by the anatomical landmark technique, has a mechanical complication rate between 5% and 19%. This technique has been modified and new approaches have been implemented aiming to improve patient safety.With the introduction of ultrasonography in the clinical practice, and recently in central venous catheter insertion, the rate of complications has dropped over time.Objective: To measure the clinical application of the algorithm "Successful ultrasoundguided internal jugular vein cannulation".Methods: A descriptive, prospective, case series study. Patients over 18 years of age were selected, and the informed consent documentation was filled out appropriately. Patients with masses, anatomical abnormalities, insertion site infections and coagulopathy (International Normalized Ratio [INR] ≥ 2.0, platelet count ≤50.000) were excluded. Central venous cannulation was performed under ultrasound guidance in accordance with safety ଝ Please cite this article as: Zuñiga WFA, Sanabria FR, de Mejía CN, Hermida E, Sánchez JA, Solórzano MC, et al. Canalización venosa yugular interna: que tanta seguridad podemos llegar a ofrecer?. Rev Colomb Anestesiol. 2015;43:76-86. r e v c o l o m b a n e s t e s i o l . 2 0 1 5;4 3(1):76-86Conclusiones: La implementación del algoritmo guía, permitió una alta tasa de éxito en el primer intento y la prevención de complicaciones potenciales, mejorando los estándares operacionales, brindando una mayor calidad en el cuidado y atención de los pacientes.