Internal Jugular Vein Cannulation Using a 3-Dimensional Ultrasound Probe in Patients Undergoing Cardiac Surgery : Comparison Between Biplane View and Short-Axis View

Copyright © 2020 Elsevier Inc. All rights reserved..

OBJECTIVE: To compare the clinical performance in terms of procedure time, success rate, and cannulation attempts between ultrasound biplane view (BPX) and short-axis (SAX) view for internal jugular vein cannulation (IJV) in patients undergoing cardiac surgery.

DESIGN: Prospective, observational pilot study.

SETTING: University level tertiary referral hospital.

PATIENTS: The study comprised 100 patients between ages 18 and 75 years undergoing elective cardiac surgery.

INTERVENTIONS: One hundred patients were divided into 2 groups of 50 (BPX group and SAX group) by assigning the study participants alternatively to each group. IJV cannulation was performed using a 3-dimensional ultrasound probe in all patients with either BPX view (BPX group, n = 50) or the SAX view (SAX group, n = 50) by an experienced anesthesiologist.

MEASUREMENTS AND MAIN RESULTS: Time required for imaging, time for IJV puncture, time for guidewire confirmation, number of needle punctures and needle redirections, and incidence of posterior wall puncture were noted in both groups. In addition, the quality of needle visualization and the incidence of complications were recorded. The time taken for imaging was significantly greater in the BPX group than in the SAX group (9.52 ± 2.69 s v 7.94 ± 2.55 s; p = 0.0034), whereas the time taken for IJV puncture (10.39 ± 2.33 s v 23.7 ± 2.46 s; p < 0.0001), time taken for confirmation of guidewire (32.94 ± 4.50 s v 57.64 ± 7.14 s; p < 0.0001), and the incidence of posterior wall puncture (4% v 26%; p = 0.0022) were significantly less in the BPX group than in the SAX group. The total number of attempts taken to puncture the IJV was fewer in the BPX group than in the SAX group (55 v 78). Successful puncture of the IJV occurred on the first attempt in 90% of patients in the BPX group, whereas it was only 50% in the SAX group (p < 0.0001). The quality of needle visualization was good in 90% of patients in the BPX group, whereas it was only 6% in the SAX group. The number of needle redirections for IJV puncture was less in the BPX group than in the SAX group (48 v 116). The incidence of complications was not significant between the 2 groups.

CONCLUSION: The results suggested that the BPX view may be a safer, feasible and more reliable method than the SAX view for IJV cannulation in cardiac surgical patients.

Errataetall:

CommentIn: J Cardiothorac Vasc Anesth. 2021 Jan;35(1):98-99. - PMID 33067090

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Journal of cardiothoracic and vascular anesthesia - 35(2021), 1 vom: 07. Jan., Seite 91-97

Sprache:

Englisch

Beteiligte Personen:

Panidapu, Nagarjuna [VerfasserIn]
Babu, Saravana [VerfasserIn]
Koshy, Thomas [VerfasserIn]
Sukesan, Subin [VerfasserIn]
Dash, Prasanta Kumar [VerfasserIn]
Panicker, Varghese T [VerfasserIn]

Links:

Volltext

Themen:

Biplane view
Cardiac surgical patients
Internal jugular vein cannulation
Journal Article
Observational Study
Short-axis view
Ultrasound guidance

Anmerkungen:

Date Completed 19.05.2021

Date Revised 19.05.2021

published: Print-Electronic

CommentIn: J Cardiothorac Vasc Anesth. 2021 Jan;35(1):98-99. - PMID 33067090

Citation Status MEDLINE

doi:

10.1053/j.jvca.2020.08.021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314615717