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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Card+Anaesth
2016 ; 19
(2
): 288-92
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Comparison between long- and short-axis techniques for ultrasound-guided
cannulation of internal jugular vein
#MMPMID27052071
Shrestha GS
; Gurung A
; Koirala S
Ann Card Anaesth
2016[Apr]; 19
(2
): 288-92
PMID27052071
show ga
CONTEXT: Real-time ultrasound guidance for internal jugular (IJ) vein cannulation
enhances safety and success. AIMS: This study aims to compare the long- and
short-axis (LA and SA) approaches for ultrasound-guided IJ vein cannulation.
SUBJECTS AND METHODS: Patients undergoing surgery and in intensive care unit
requiring central venous cannulation were randomized to undergo either LA or SA
ultrasound-guided cannulation of the IJ vein by a skilled anesthesiologist. First
pass success, the number of needle passes, time required for insertion of
guidewire, and complications were documented for each procedure. RESULTS: The IJ
vein was successfully cannulated in all patients. There are no significant
differences between the two groups in terms of gender, diameter of IJ vein,
margin of safety, and time required for insertion of guidewire. There was also no
significant difference between the two groups in terms of side of IJ vein
cannulated, patient on mechanical ventilation, number of skin puncture, number of
needle redirections, first pass success, and carotid puncture. However, there is
a significant relationship between the diameter of IJ vein with first pass (18.18
± 4.72 vs. 15.21 ± 4.24; P < 0.004) and margin of safety with of incidence of
carotid puncture (12.15 ± 4.03 vs. 6.59 ± 3.13; P < 0.016). CONCLUSIONS: Both
techniques have similar outcomes when used for IJ vein cannulation.