1Third Year Resident, Emergency Medicine Department, VS General Hospital, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
2Associate Professor, Emergency Medicine Department, VS General Hospital, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
3Professor And Head, Emergency Medicine Department, VS General Hospital, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
Ultrasound-guided internal jugular vein (IJV) catheterization is known for improving success rate and reduction in rate of complications. The ultrasound image can be used as a real time image during catheterization or to locate the IJV before attempting catheterization. Various serious complications like carotid artery puncture, haemothorax, pneumothorax or arrhythmias can occur during the procedure. Ultrasound guidance could be beneficial in placing central venous catheters by improving success rate, reducing the number of needle passes, decreasing access time and overall success with reduced incidence of complications.
Total 120 patients were randomly selected for IJV catheterization either by conventional or ultrasound guided technique. Number of attempts, success rate, total venous access time, and complications were observed in each group.
Successful catheterization (up to 3 attempts) was achieved in all patients of both groups. Total venous access time was found to be significantly less in ultrasound groups than the conventional group. Number of attempts and success in first attempt was higher in ultrasound group. This group also had less number of complications.
Ultrasound guidance is beneficial in placing central venous catheters by improving success rate, reducing the number of needle passes, decreasing access time and decreasing complications. Ultrasound guided technique improves the catheterization of IJV with respect to safety, rapidity and comfort to the patient during procedure.
central venous catheterization, internal jugular vein, ultrasonography, conventional
