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Short-axis/out-of-plane versus long-axis/in-plane ultrasound-guided central venous catheter placement by inexperienced trainees: randomized trial
| Content Provider | Scilit |
|---|---|
| Author | Elsayed, Mohamed Hassn, Ali Mohmd |
| Copyright Year | 2021 |
| Abstract | Background Ultrasound (US) guidance for central venous catheter (CVC) placement is considered gold standard in localization and cannulation, making the procedure safer with less complications. Objective To compare the short-axis/out-of-plane (SAX) with the long-axis/in-plane (LAX) technique for US-guided CVC insertion in internal jugular vein in intensive care practice regarding safety and efficacy. Patients and methods A prospective randomized trial was conducted in Zagazig University Hospitals, from October 2017 to October 2018. All were randomized into one of two groups according to US guidance technique: SAX technique (group S), including 116 patients, and the LAX technique (group L), including 116 patients, for US-guided CVC insertion in internal jugular vein. The primary outcome was first-attempt success rate of both the SAX and LAX approaches for US-guided vascular catheterization. The secondary outcomes were total success rate, which was defined as successful venous cannulation without complication; cannulation times calculated in seconds; the number of attempts; and complications (hematoma and arterial puncture). Results US-guided venous cannulation was successful without complications in 115 (99.14%) patients. Venous access time, catheterization time, and US imaging time were significantly lower in the group S than in the group L (P<0.05). Complications in both groups had no significant difference. Hematoma formation was evident in one patient in group L. Multiple puncture was more in LAX group, with no significant difference. |
| Related Links | http://www.roaic.eg.net/article.asp?issn=2356-9115;year=2021;volume=8;issue=1;spage=30;epage=34;aulast=Elsayed;type=2 |
| File Format | XHTML |
| ISSN | 23569115 |
| DOI | 10.4103/roaic.roaic_76_19 |
| Journal | Research and Opinion in Anesthesia and Intensive Care |
| Issue Number | 1 |
| Volume Number | 8 |
| Language | English |
| Publisher | Medknow |
| Publisher Date | 2021-01-01 |
| Access Restriction | Open |
| Subject Keyword | Anesthesiology Internal Jugular Vein Long-axis/in-plane Short-axis/out-of-plane Ultrasound Guidance Research and Opinion in Anesthesia and Intensive Care, Volume 8, Issue 1 |
| Content Type | Text |
| Resource Type | Article |
