Ultrasound-guided central venous cannulation is superior to quick-look ultrasound and landmark methods among inexperienced operators: a prospective randomized study

Airapetian, Norair; Maizel, Julien; Langelle, François; Modeliar, S. Samy; Karakitsos, Dimitrios; Dupont, Hervé; Slama, Michel

doi:10.1007/s00134-013-3072-z

Cited by 65 publications

(62 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The findings of the current study showed no clinical complications of catheterization in Group 1 (SAG), while this measure was 0 -3% in other studies (1, 7-9, 11-17, 19, 21). The incidence rate of hematoma was also 0% in this study and 0 -4.3% in other investigations (1,7,8,11,13,(15)(16)(17). Moreover, there was no statistically significant difference between the two groups with respect to primary mechanical complications.…”

Section: Discussionsupporting

confidence: 63%

“…Most studies on short -axis view and its comparison to anatomical landmark-guided technique have not mentioned the duration of different catheterization steps. The access time was 17.72 seconds in Group 1 (SAG) in our study and 12.4 -240 seconds in other studies (1,(8)(9)(10)(11). Access time in Group 2 (M-OG) was shorter compared to Group 1, but the difference was not statistically significant.…”

Section: Discussionsupporting

confidence: 54%

“…The average number of attempts was 1.25 in Group 1 (SAG) and 1 -1.5 in other investigations (8,11,12,16,17,19,21). The results also demonstrated no statistically significant difference between the two study groups concerning the mean number of attempts.…”

Section: Discussionmentioning

confidence: 52%

“…Successful catheterization rate in the first attempt was 85% in Group 1 (SAG) compared to 63 -100% in other investigations (8,9,13,(15)(16)(17)(18)(19)(20). In addition, successful catheterization rate in the second attempt was 5% in Group 1 (SAG) and 2 -10% in other studies (14,16).…”

Section: Discussionmentioning

confidence: 65%

See 3 more Smart Citations

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Kamalipour¹,

Shahbazi²,

Derakhshan³

et al. 2015

Int Cardiovasc Res J

View full text Add to dashboard Cite

A B S T R A C TBackground: Although some investigations have shown higher rates of successful first attempt and fewer attempts by using ultrasound-guided Internal Jugular Vein (IJV) catheterization, arterial puncture is still common. Objectives: The present study aimed to investigate US-guided catheterization of the right IJV via medial-oblique technique and also compare this technique to short-axis technique in open-heart surgery patients. Patients and Methods: In this randomized clinical trial, 80 patients referred to cardiac operating room of Namazi hospital, Shiraz, Iran from March to July 2014 were selected using census method. Block randomization with website was also done. Then, the patients were divided into two groups of 40, Short Axis Group (SAG) and Medial-Oblique Group (M-OG). For short-axis technique, patient's head was positioned at zero degree angulation with his trunk. For medial-oblique technique, on the other hand, patient's head was tilted to left to 45 degrees between the head and trunk. Sex, age, Body Mass Index (BMI), access time, guidewire time, cannulation time, total attempts for catheterization, first, second, and third attempt success, arterial puncture, hematoma, bleeding, and catheter malposition were recorded. The overlap between the carotid artery and IJV in zero-and 45-degree angulation was estimated through ultrasound print. After all, Kolmogorov-Smirnov test was used to assess normal distribution of the data. Then, the data were analyzed through Student's t-test, Mann-Whitney U test, and chi-square test. P < 0.05 was considered as statistically significant. Results:The results showed no significant differences between the two groups regarding the duration of different catheterization steps (P = 0.376). In all the cases in both groups, accessing the vein was successful with three attempts or less. There were no clinical complications of catheterization in the two groups. The mean of overlap was 23.60 ± 33.47 in zero-degree angulation between the head and trunk and 32.72 ± 36.38 in 45-degree angulation and this difference was statistically significant (P = 0.001). Conclusions:The results of the present study showed that both US-guided techniques under investigation had the same duration in different catheterization steps, total success rate, and primary mechanical complications, and could be used in clinics.

show abstract

Section: Discussionsupporting

confidence: 63%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 65%

See 2 more Smart Citations

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Kamalipour¹,

Shahbazi²,

Derakhshan³

et al. 2015

Int Cardiovasc Res J

View full text Add to dashboard Cite

show abstract

“…In a prospective randomized trial, Airapetian [19] compared quick-look ultrasound with skin mark, landmark (LM), and ultrasound-guided (UG) canulation of jugular and femoral veins by inexperienced operators. The success rate was higher in the UG group than in the LM and UM groups (100, 74, and 73 %, respectively; p = 0.01).…”

Section: Bloodstream Infectionsmentioning

confidence: 99%

Year in review in Intensive Care Medicine 2013: III. Sepsis, infections, respiratory diseases, pediatrics

et al. 2014

View full text Add to dashboard Cite

Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization

Braß

Hellmich

Kolodziej

et al. 2015

Cochrane Database of Systematic Reviews

290

311

View full text Add to dashboard Cite

Based on available data, we conclude that two-dimensional ultrasound offers gains in safety and quality when compared with an anatomical landmark technique. Because of missing data, we did not compare effects with experienced versus inexperienced operators for all outcomes (arterial puncture, haematoma formation, other complications, success with attempt number one), and so the relative utility of ultrasound in these groups remains unclear and no data are available on use of this technique in patients at high risk of complications. The results for Doppler ultrasound techniques versus anatomical landmark techniques are also uncertain.

show abstract

Ultrasound-guided central venous cannulation is superior to quick-look ultrasound and landmark methods among inexperienced operators: a prospective randomized study

Abstract: Ultrasound-guided cannulation of the internal jugular or femoral vein by inexperienced residents appears to be more reliable than the LM or UM methods and was associated with a lower mechanical complication rate among ICU patients.

Cited by 65 publications

References 31 publications

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Comparison of US-Guided Catheterization of the Right Internal Jugular Vein Using Medial-Oblique and Short Axis Techniques

Year in review in Intensive Care Medicine 2013: III. Sepsis, infections, respiratory diseases, pediatrics

Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization

Contact Info

Product

Resources

About