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Ultrasound guided internal jugular vein cannulation in infants: Comparative evaluation of novel modified short axis out of plane approach with conventional short axis out of plane approach
| Content Provider | Scilit |
|---|---|
| Author | Goyal, Puneet Rastogi, Amit Agarwal, Aarti Priya, Vansh Dhiraaj, Sanjay Haldar, Rudrashish |
| Copyright Year | 2018 |
| Abstract | Background and Aims: Central venous cannulation (CVC) through right internal jugular vein (IJV) route is routinely performed in paediatric patients undergoing major surgery and in those admitted to intensive care units. A novel technique (modified short-axis out-of-plane [MSA-OOP]) to improve first pass success rate of ultrasound-guided IJV CVC in neonates and infants is being compared with conventional SA-OOP method. Methods: A total of 120 patients were enroled in the study over a period of 6 months. All paediatric patients with age <1 year and weight <10 kg who underwent a major surgery requiring CVC were included. Patients were randomised to either of the two approaches of ultrasound-guided IJV cannulation; SA-OOP and modified SA-OOP (MSA-OOP). In modified approach, the midline of probe footprint was marked with a radio-opaque barium wire that casted a central acoustic shadow on ultrasound screen. Results: In MSA-OOP group, 83.1% of patients were cannulated in the first attempt as compared to 49.2% patients in group SA-OOP. Patients in MSA-OOP group required significantly fewer attempts for successful CVC as compared to patients in the SA-OOP group ( MSA-OOP: median = 1, interquartile range [1-1]; SAOOP: median = 2, interquartile range [1-2], P < 0.001, Mann–Whitney U-test). Conclusion: The use of MSA-OOP ultrasound technique for IJV CVC cannulation results in a higher first-attempt success rate and reduces the number of cannulation attempts. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881323/pdf |
| File Format | XHTML |
| ISSN | 00195049 |
| e-ISSN | 09762817 |
| DOI | 10.4103/ija.ija_676_17 |
| Journal | Indian Journal of Anaesthesia |
| Issue Number | 3 |
| Volume Number | 62 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Anesthesiology Nursing Central Venous Cannulation Ultrasound Guided Vascular Access Neonates and Infants Indian Journal of Anaesthesia, Volume 62, Issue 3 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
