Internal Jugular Vein Catheterization: The Landmark Technique versus Ultrasonography Guidance in Cardiac Surgery

Abstract

Background Central venous catheterization is an invasive procedure that must be performed during cardiovascular surgery. The addition of ultrasound guidance to the catheterization technique has shown effectiveness in reducing complications because it allows for the visualization of anatomical variations prior to intervention and the continual visualization of the needle during the placement. The purpose of this study was to evaluate the effectiveness of needle-guiding ultrasound for internal jugular venous cannulation. Method Patients undergoing coronary bypass surgery at Hitit University, department of cardiovascular surgery, from January 2014 to June 2018, were included in the study. The patients were divided into two groups: those with catheterization with ultrasound guidance (Group U) and those with catheterization performed with the anatomic landmark technique (Group L). Results A total of 584 cases were investigated. The success of the procedure and complication rates for both methods were compared. Central vein catheterization with ultrasonography produced success and complication rates significantly better than those for catheterization using the landmark technique (p=0.04 and p=0.00001, respectively). Conclusion This study demonstrated that the use of ultrasonography for internal jugular vein catheterization for patients undergoing coronary bypass surgery significantly reduced the complication rates as compared to those of patients where the landmark technique was used for catheterization.

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

“…Hence, the authors of the present study suggest that the biplane technique could be useful to avoid posterior wall puncture in cardiac surgical patients in whom the incidences of bleeding and neck hematoma resulting from the use of heparin for cardiopulmonary bypass are high. 15 The successful puncture of the IJV on the first attempt and good quality of needle visualization were significantly less in the SAX group than in the BPX group. These findings in the SAX group were less compared with the previous studies.…”

Our Experiences in Percutaneous Cannulation and Monitoring in Minimal Invasive Cardiac Surgery

“…For this reason, the diameters of the cannula used must be large enough and drainage holes must be present to prevent vacuuming. Inadequate SVC drainage results in impaired venous return in the head and neck, conjunctival edema, and elevated CVP (12,13,14,15). Such complications did not develop in the patients included in the study.…”

Ultrasonographic guidance should be the first option during central vein catheterization

“…In a recently published report, we shared our experience in 584 cases. [4] The total complication rate was found to be 6% with USG guidance including hematoma, carotid artery puncture, pneumothorax, malposition, and hemorrhage. Thus, USG guidance revealed an 18% decrease in the overall complication rate, compared to the Landmark technique.…”