Comparision of Anatomical Landmark Guided Two Different Approach for Internal Jugular Venous Canulation in Tertiary Care Hospital. A Retrospective Randomised Study

There are various approaches for internal jugular venous(IJV) canulation. Anterior approach is used commonly but it is with incidence of complications like carotid artery puncture, haematoma and pneumothorax. With posterior approach there are less incidence of above complications.

To compare both approaches for IJV canulation in terms of procedure and complications.

For both approaches 100 adult patients are randomly allocated and number of attempts, time to identify vein, duration of canulation, ease of threading, carotid artery puncture, haematoma formation are noted. Complications in form of haemothorax, pneumothorax, catheter displacement and thrombophlebitis are noted.

Posterior approach is better than anterior approach.