Type of Article : Original Article
Year: 2014 | Volume 2 | Issue 4 | Page No. 757-760
Date of Publication: 31-12-2014
A COMPARATIVE STUDY BETWEEN ULTRASOUND GUIDED CATHETERIZATION OF THE INTERNAL JUGULAR VEIN AND CLASSICAL LAND MARK TECHNIQUE
Henjarappa K S 1, Pavan P Havaldar 2, Hussain Saheb Shaik *3.
1 Assistant Professor in Anaesthesia, Kidwai Memorial Institute Of Oncology, Bangalore, Karnataka, India.
2&*3 Assistant Professor of Anatomy, JJM Medical College, Davangere, Karnataka, India.
Address: Shaik Hussain Saheb, Assistant Professor of Anatomy, JJM Medic al College, Davangere. Karnataka, India. M.No: +919242056660
Background: Catheterization of Internal Jugular Vein (IJV) is commonly attempted to obtain central venous access for hemodynamic monitoring, long term administration of fluids, total parenteral nutrition and hemodialysis in critical care patients. The safe puncture of the IJV is achieved by using anatomical land marks on skin surface. Ultrasound guidance could be beneficial in placing central venous catheters by improving the success rate, reducing the number of needle passes, decreasing access time and decreasing complications.
Material and Methods: Sixty critical care patients were selected for IJV cannulation either by land mark technique or by ultrasound guided technique in two groups of thirty each.
Results: In our study there was 100% success rate for first attempt cannulation in USG technique and where as it was 83.3% in LMG technique. The mean access time in USG technique was 152.50 ± 63.90 sec as against 323.23 ± 146.19 sec in LMG group.
Conclusion: Ultrasound guided technique improves the cannulation of the IJV with respect to safety, rapidity and comfort to the patient during the procedure.
KEYWORDS: Central venous cannulation, Internal Jugular Vein, Land marks, Ultrasound.
- Andrew R. Webb, Marc J. Sharpiro, Meryn Singer: Oxford textbook of Critical Care, Oxford Medical Publications 1990: 1090 - 1094.
- A M Anter, R S Bondok. Peripheral Venous Pressure as an alternative to Central Venous Pressure in paediatric surgery patients. Acta Anaesth Scand 2004; 48(9): 1101 - 1104.
- M Desjardins, Jeff Sulpher, B Craig Lee. Can PVP be interchangeable with CVP in patients undergoing cardiac surgery. Intensive care Med 2004; 30(4): 627 - 632.
- James R Munis, Sanjay Bhatia, Leonardo J Lozada. PVP as a hemodynamic variable in Neurosurgical patients, Anaes Analg 2001; 92: 172 - 179.
- John T Walsh, David J R, Heldick Simth, Stuart A Nawell, Martin D Lowe, Duwarakan K S et al. Comparison of CVP and Inferior Vena Caval Pressures. American J Cardiology 2000; 85: 518 - 520.
- B Dhawan, Ravishekar Gadepalli, Arti Kapil. Infective complications of Central Venous catheters in cardiac surgical patients. Indian J Pathol, Microbiol. 2001;44(2): 124 - 129.
- Thomas Surez, MD, Jeffrey P Baerwald, PhD, Cladd Kraus. Central venous access, the effect of approach, position, head rotation on internal jugular vein, cross sectional area. Anaesth Analg 2002; 95: 1519 - 1524.
- Testa A., Biasucci D.G., La Greca, Pittiruti M, Portale G, Pignataro G et al. Ultrasound guided central venous cannulational versus the land mark guided technique. J Annals of Emergency Medicine 2004; 11: 582 - 585.
- Dimitrios Karakitsos, Nicolas Labropoulos, Eric De Groot, Alexandros P P, Gregorios Kauraksis, John Poulasas et al. Real time Ultrasound guided cathetherisation of internal Jugular vein - A prospective comparison with the land mark techniquein critical care patients. J Critical Care 2007; Vol 10(6): 843 -863.
- Piero Antonio Conz, Daniela Dissegna, Maria Pia Rodighero, Giuseppe La Greca. Cannulation of internal Jugular vein - Comparision of classical seldinger technique and ultrasound guided method. J Nephrology 1997; Vol 10(6): 311 - 313.
- Wg Cdr R. M. Sharma, Col C.V.R. Mohan, Lt Col R. Sethur, Wg Cdr H Sahani. Ultrasound guided Central venous Cannulation. Medical J Armed Forces of India 2006; 62: 371 - 372.
- Bart G. Denys, MD, Barry F. Uretsky, MD, P Sudhakar Reddy, MD. Ultrasound Assisted Cannulation of the Internal Jugular Vein. Circulation May 1993; 87(5): 1557 - 1562.
- Mallory D L, Shawker T H, Evans R G, Macgee. Effects of clinical maneuvers on sonographically determined Internal Jugular Vein size during venous cannulation. Crit Care Med 1990; 18: 1269 – 1270.
- Daniel Duque, Stuart Kessler. Ultrasound guided vascular access. J Intensive careMedicine 1997; 23: 916 - 919.
Henjarappa K S, Pavan P Havaldar, Hussain Saheb Shaik. A COMPARATIVE STUDY BETWEEN ULTRASOUND GUIDED CATHETERIZATION OF THE INTERNAL JUGULAR VEIN AND CLASSICAL LAND MARK TECHNIQUE. Int J Anat Res 2014;2(4):757-760. DOI: 10.16965/ijar.2014.541