Internal Jugular Vein Cannulation Using a 3-Dimensional Ultrasound Probe in Patients Undergoing Cardiac Surgery: Comparison Between Biplane View and Short-Axis View

Single-plane versus real-time biplane approaches for ultrasound-guided central venous catheterization in critical care patients: a randomized controlled trial

“…Similarly, another study [ 34 ] reported that the success rate was higher in the biplane group using a portable ultrasonic device, with a faster cannulation time and less backwall perforation in phantom model of peripheral vein. Our results are consistent with those of a previous study [ 28 ], which evaluated the out-of-plane and biplane approaches using a low-frequency transducer (1–5 MHz) to the IJVC in 100 patients by an experienced anesthesiologist and observed a higher first-pass success rate, fewer posterior wall punctures, and shorter puncture time when a biplane approach was employed. One reason why the procedure time was consistently shorter with the biplane technique than that with the single-plane technique because the latter requires a short-axis assessment of the vessels, followed by probe rotation in some cases [ 29 ].…”

“…Previous researches have reported the efficacy and safety of US-guided venous catheterization using the biplane approach [ 28 , 34 , 35 ]. A study using a simulated vascular model [ 35 ] revealed that biplane imaging can help avoid lateral deviation, reduce errors in identifying vessels, and prevent overshoots during CVCs.…”

“…Thus, the x-plane approach creates a comprehensive picture of both the needle trajectory and vein with its surrounding structures. To our knowledge, only one study has compared US-guided out-of-plane and biplane imaging for internal jugular catheterization (IJVC) with a low-frequency transducer [ 28 ]; however, no study has compared the in-plane and the x-plane techniques. Therefore, this present study aimed to compare the success rates and safety of single- and x-plane US-guided CVCs (IJVC and femoral vein catheterization (FVC)) in critically ill patients.…”

Biplanar versus conventional two-dimensional ultrasound guidance for radial artery catheterisation

“…However, the resolution of this probe is inappropriate for superficial procedures, which may explain the low success rate in the control group of only 50%. 15 A new compact handheld US device with adequate resolution for superficial procedures has been enabled with biplanar imaging. 16 In a similar study regarding first-pass success rate of the internal jugular vein, no differences were found between the outcomes of 2D and biplanar guidance.…”

The novel use of biplane imaging for ultrasound-guided regional anesthesia

“…One study concluded that the enhanced visualization of structures and needles leads to improved performance and feasibility. For internal jugular vein (IJV) cannulation using the short-axis approach, applying BI with a low-frequency matrix transducer resulted in fewer puncture attempts and needle redirections, a lower incidence of posterior wall punctures, and successful puncture of the IJV on the first attempt in 90% of cases vs. 50% with B-mode [ 1 ]. The low-frequency transducer used in this study, which is designed for imaging large, superficial vascular structures, is acceptable for IJV cannulation; however, it provides suboptimal visualization of small superficial structures, such as nerve roots for USGRA [ 2 ].…”