Oblique-axis view should be the preferred view for ultrasound-guided internal jugular vein cannulation in intensive care unit

Singh, Swati; Avinash, Raja

doi:10.4103/sja.sja_744_18

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various ultrasound-guided techniques have been described for internal jugular vein catheterization [15][16][17][18][19][20][21]. The oblique-axis in-plane method (OA-IP) combines the benefits of shortaxis view and in-plane method, under which, the adjacent relationship between common carotid artery (CCA) and IJV is clear, and the entire needle body is visible, therefore it is recommended to conduct internal jugular vein cannulation (IJVC) by many scholars [15,[22][23][24][25]. When we use the oblique axis plane method, we need to place the ultrasound probe at a 45-degree angle with the IJV and insert the needle in the plane.When using a single operator method to perform IJVC, the hands may be crossed, resulting in uncoordinated puncture procedures.…”

Section: Introductionmentioning

confidence: 99%

Modified combined short and long axis method versus oblique axis method in adult patients undergoing right internal jugular vein cannulation: A randomized controlled non-inferiority study

Tang,

Wang,

Ouyang

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background Modified combined short and long axis method (MCSL) can replace oblique axis in-plane method (OA-IP) for internal jugular vein cannulation (IJVC). This randomized, non-inferiority study estimated the efficacy of MCSL compared with OA-IP in right IJVC. Methods Patients (18–75 yr. old) undergoing right IJVC under local anesthesia were randomly assigned to MCSL or OA-IP group. The primary outcome is the event of first needle pass without posterior vessel wall puncture (PVWP). Secondary outcomes included needle attempts, success rate, puncture and cannulation time, needle visualization, probe placement difficulty and complications. Results Among 190 randomized patients, 187 were involved in the analysis. The first needle pass without PVWP was 85(89.47%) in the MCSL and 81 (85.26%) in the OA-IP (p = 0.382), with a mean rate difference of 4.2% (95% confidence interval: -5.2–13.6), which confirmed the non-inferiority with the margin of -8%. MCSL group exhibited shorter procedure time and lower complications than OA-IP group. No significant differences were discovered between groups in needle attempts, success rate, incidence of probe placement difficulty and needle visualization. Conclusions MCSL is non-inferior to OA-IP in first needle pass without PVWP in adults who underwent elective right IJVC and associate with less complications and shorter operating time. Clinical trial registration ChiCTR, ChiCTR2100046899.

show abstract

Section: Introductionmentioning

confidence: 99%

Modified combined short and long axis method versus oblique axis method in adult patients undergoing right internal jugular vein cannulation: A randomized controlled non-inferiority study

Tang,

Wang,

Ouyang

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

Compare the Efficacy and Safety of Modified Combined Short and Long Axis Method versus Oblique Axis Method for Right Internal Jugular Vein Catheterization in Adult Patients (The MCSLOA Trial): Study Protocol of a Randomized Controlled Trial

et al. 2022

View full text Add to dashboard Cite

BackgroundUltrasound-guided internal jugular vein (IJV) catheterization has become a standard procedure as it yields a higher success rate and fewer mechanical complications compared with an anatomical landmark technique. There are several common methods for ultrasound guidance IJV catheterization, such as short-axis out-of-plane, long-axis in-plane and oblique axis in-plane, but these technologies are still developing. It is important to further study the application of different ultrasound-guided IJV puncture techniques and find an effective and safe ultrasound-guided puncture technique.MethodsA China randomized, open-label, parallel, single center, positive-controlled, non-inferiority clinical trial will evaluate 190 adult patients undergoing elective surgery and need right jugular vein catheterization. Study participants randomized in a 1:1 ratio into control and experimental groups. The control group will take the oblique axis in-plane method for IJV catheterization. The experimental group will take the Modified combined short and long axis method. The primary endpoint of the trial is the rate of one-time successful guidewire insertion without posterior wall puncture (PWP). Secondary endpoints are the number of needle insertion attempts, the total success rate, the procedure time, and mechanical complications.ConclusionThis randomized controlled trial will evaluate the effectiveness and safety of Modified combined short and long axis method and oblique axis in-plane method for right IJV catheterization in adult patients.

show abstract

Oblique-axis view should be the preferred view for ultrasound-guided internal jugular vein cannulation in intensive care unit

Cited by 2 publications

References 4 publications

Modified combined short and long axis method versus oblique axis method in adult patients undergoing right internal jugular vein cannulation: A randomized controlled non-inferiority study

Modified combined short and long axis method versus oblique axis method in adult patients undergoing right internal jugular vein cannulation: A randomized controlled non-inferiority study

Compare the Efficacy and Safety of Modified Combined Short and Long Axis Method versus Oblique Axis Method for Right Internal Jugular Vein Catheterization in Adult Patients (The MCSLOA Trial): Study Protocol of a Randomized Controlled Trial

Contact Info

Product

Resources

About