Success rate and complications of internal jugular vein catheterization with and without ultrasonography guide

Nursing and Midwifery Studies
Hamidreza Karimi-SariGholamreza Asjodi

Abstract

Central venous catheterization (CVC) is an important procedure in emergency departments (EDs). Despite existence of ultrasonography (US) devices in every ED, CVC is done using anatomical landmarks in many EDs in Iran. This study aimed to compare the traditional landmark method vs. US-guided method of CVC placement in terms of complications and success rate. In this randomized controlled trial, patients who were candidate for internal jugular vein catheterization, and referred to Baqiyatallah Hospital ED were randomly allocated into US-guided CVC and anatomical landmarks guided CVC groups. Central vein access time, number of attempts, success rate, and complications in each group were evaluated. Mann-Whitney U, chi-square and Fisher exact tests along with Pearson and Spearman correlation coefficients were used to analyze the data. Out of 100 patients, 56 were male and 44 were female. No significant differences were found between the US-guided and traditional landmark methods of CVC insertion in terms of age, gender, BMI, and site of catheter insertion. The mean access time was significantly lower in the US-guided group (37.12 ± 17.33 s vs. 63.42 ± 35.19 s, P < 0.001). The mean number of attempts was also significantly lower in t...Continue Reading

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Citations

Nov 5, 2016·Journal of Critical Care·Hamidreza Karimi-Sari, Jamal Akhavan-Moghadam
Nov 6, 2018·Journal of Ultrasound·Pierfrancesco FuscoFranco Marinangeli
Nov 17, 2016·Anesthesiology and Pain Medicine·Hamidreza Karimi-Sari, Niloofar Nikjoo

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statistical package for social sciences ( SPSS )

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