Ultrasound Guidance Improves the Success Rate of Internal Jugular Vein Cannulation

Mallory, Douglas L.; McGee, William T.; Shawker, Thomas H.; Brenner, Matthew; Bailey, KR; Evans, Robert G.; Parker, Margaret M.; Farmer, Joseph C.; Parillo, Joseph E.

doi:10.1378/chest.98.1.157

Cited by 240 publications

(134 citation statements)

References 15 publications

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“…Furthermore, ultrasound imaging can confirm correct central venous catheter tip position [28,29]. Although the majority of studies have focused on cannulation of the internal jugular vein [5,[8][9][10][11][12][30][31][32][33][34][35][36], more recent studies have demonstrated the safety and efficacy of ultrasoundguided during femoral and subclavian cannulation [18,37]. Multiple studies have consistently confirmed that the utilisation of ultrasound guidance during vascular guidance significantly reduces major complications [1-3, 6-14, 38, 39].…”

Section: Recommendationsmentioning

confidence: 99%

“…Multiple published guidelines support the clinical utility of ultrasound guidance, but together they only partially address the best practice of ultrasound-guided vascular access [6][7][8][9][10][11][12][13][14][15][16]. Recommendations from our consensus vary significantly in their quality, methodology, clinical scope and targeted audience.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

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Section: Recommendationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

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“…When landmark-based insertion fails, success rates drop 25 % with each repeat attempt, and the number of attempts is closely correlated with the likelihood of complications [9], the most common of which is arterial puncture [6]. A number of studies [9][10][11][12][13] have shown that realtime ultrasound guidance increases the rates of successful internal jugular catheterization by 100 % (particularly on the first pass). It also reduces the rates of mechanical complications (e.g., arterial puncture, hematoma, pneumothorax) as well as infectious and thrombotic events [15][16][17].…”

Section: Internal Jugular Veinmentioning

confidence: 99%

“…In 1986, Yonei et al [8] first described the use of real-time, two-dimensional ultrasound for cannulating the same vein. Since then, a number of studies [9][10][11][12][13][14] have demonstrated that real-time ultrasound guidance and, to a slightly lesser extent, ultrasound assistance markedly reduce the mechanical, infectious, and thrombotic complications of the central venous catheterization [15][16][17]. Compared with the conventional blind insertion, ultrasound assistance can also reduce the rates of catheterization failure and incorrect catheter placement, increase the likelihood of success at the first pass, shorten procedure times, and reduce costs.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

et al. 2013

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Vascular access used in the treatment of patients involves central and peripheral vein accesses and arterial accesses. Catheterization of central veins is widely used in clinical practice; it is a necessary part of the treatment of patients in various settings. The most commonly involved vessels are the internal jugular, subclavian, and femoral veins. The mechanical, infectious, and thrombotic complications of central venous catheterization are markedly reduced when the procedure is performed with real-time ultrasound guidance or (to a slightly lesser extent) ultrasound assistance. Ultrasound guidance is also used to create peripheral venous accesses, for catheterization of peripheral veins and for peripheral insertion of central venous catheters. In this setting, it increases the catheterization success rate, especially during difficult procedures (e.g., obese patients, children) and reduces complications such as catheter-related infections and venous thrombosis. Arterial cannulation is used for invasive monitoring of arterial pressure and for access during diagnostic or therapeutic procedures. Ultrasound guidance reduces the risk of catheterization failure and complications. It is especially useful for arterial catheterization procedures performed in the absence of a palpable pulse (e.g., patient in shock, ECMO). Imaging support is being used increasingly to facilitate the creation of vascular accesses under difficult conditions, in part because of the growing use of ultrasonography as a bedside procedure. In clinical settings where patients are becoming increasingly vulnerable as a result of advanced age and/or complex disease, the possibility to reduce the risks associated with these invasive procedures should motivate clinicians to acquire the technical skills needed for routine use of sonographic support during vascular access procedures. Keywords Vascular access Á UltrasoundRiassunto Gli accessi vascolari utilizzati nella cura dei pazienti comprendono gli accessi venosi centrali e periferici e gli accessi arteriosi. L'incannulamento di accessi venosi centrali è manovra largamente diffusa nella pratica clinica e si rende necessaria per la cura dei pazienti in molteplici contesti. I vasi centrali che usualmente vengono incannulati sono la vena giugulare interna, la vena succlavia e la vena femorale. Nell'incannulamento venoso centrale sia l'eco-assistenza che l'eco-guida real time, pur con una leggera superiorità di quest'ultima, riducono drasticamente le complicanze meccaniche, infettive e trombotiche. La guida ecografica viene utilizzata anche per l'accesso venoso periferico, per l'incannulamento di vasi periferici e di vasi centrali a inserzione periferica (PICC). In questo contesto la guida ecografica aumenta il successo della manovra di incannulamento soprattutto in condizioni di difficoltà, come avviene nei pazienti obesi o nei bambini, e diminuisce le complicanze quali le infezioni catetere correlate e le trombosi venose. L'incannulamento arterioso viene utilizzato per il monitoraggio cruent...

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“…Recently, ultrasound has emerged as an alternative to the traditional methods of vessel localization for CVC. 4,5 Ultrasound also allows the procedure to be simulated, thus facilitating the study of this procedure in pregnant patients, in whom there is a low frequency of CVC.…”

Section: Résumémentioning

confidence: 99%

Ultrasound simulation of internal jugular vein cannulation in pregnant and non-pregnant women

Siddiqui

Goldszmidt

Haque

et al. 2010

Can J Anesth/J Can Anesth

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Background Pregnancy alters the anatomic landmarks for internal jugular vein (IJV) cannulation. In this study, IJV cannulation was simulated, and success of the technique was evaluated using ultrasound. Methods Term pregnant women and non-pregnant female volunteers were recruited. The degree of difficulty in assessing neck anatomy was noted. The optimal insertion points for cannulation were marked on the skin of each subject according to the central landmark and palpatory techniques. The midpoint of a 15-10 MHz linear transducer was placed over each insertion point, and the vertical cursor of the ultrasound, which represented the path of the needle, was placed in the image. The outcome was an IJV puncture, a carotid artery (CA) puncture, or a missed attempt. Results One hundred and sixty-one women, 99 pregnant and 62 non-pregnant, were studied. The identification of landmarks was more difficult in pregnant women (P = 0.01). The rates of successful IJV punctures, CA punctures, and missed attempts did not differ significantly between pregnant and non-pregnant women. Carotid artery punctures using the central landmark technique in pregnant and non-pregnant subjects were 19% and 10%, respectively. Corresponding figures for the palpatory approach were 6% and 3%, respectively. The degree of IJV overlap of the CA in the palpatory technique was greater in pregnant women (38% vs 18% showed [ 75% overlap; P \ 0.001), a difference that remained after controlling for body mass index Conclusion The IJV overlies the CA to a greater extent in pregnant patients than in non-pregnant patients. Thus, a landmark approach for IJV cannulation might expose pregnant women to a greater risk of carotid puncture. This trial was registered at www.clinicaltrials.gov (NCT T00464828).

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Ultrasound Guidance Improves the Success Rate of Internal Jugular Vein Cannulation

Cited by 240 publications

References 15 publications

International evidence-based recommendations on ultrasound-guided vascular access

International evidence-based recommendations on ultrasound-guided vascular access

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

Ultrasound simulation of internal jugular vein cannulation in pregnant and non-pregnant women

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