25Apr 2017

COMPARISON OF CENTRAL VENOUS CANNULATION OF RIGHT INTERNAL JUGULAR VEIN BY LANDMARK BASED APPROACH AND REAL-TIME ULTRASOUND GUIDED CANNULATION IN CRITICAL CARE PATIENTS.

  • Assistant Professor, Department of Anesthesiology and Critical Care Government Medical College Srinagar.J&K.
  • Senior Resident Department of Anesthesiology and Critical Care Government Medical College Srinagar, J&K.
  • Lecturer Department of Anesthesiology and Critical Care Government Medical College Srinagar, J&K.
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Background: Cannulation of central vein has become an invaluable procedure for the management of Critical Care patients for a variety of diagnostic and therapeutic reasons. The present study aimed to evaluate whether real time Ultrasound guided technique for central venous Cannulation is superior to the traditionally used landmark based technique. Materials and Methods: The study was performed in an intensive Care unit (ICU). 120 patients requiring Cannulation of Central vein were randomly taken for the study and were divided into two groups: Group A and Group B. Right internal jugular vein (RIJV) was selected for cannulation. In group A, RIJV was cannulated using real time ultrasound guidance while as in group B; RIJV was cannulated using landmark based technique. The parameters observed were; time required for cannulation (access time), number of attempts required for cannulation and complications encountered in both the techniques. Results: Mean number of attempts for successful cannulation were 1.22?0.42 in group A as against 2.27?0.61 for group B. Mean time for successful Cannulation was recorded as 16.6?2.47seconds for group A as against 56.3?7.52 for group B. 1.60% recorded haemothorax, 3.33% pneumothorax, 1.60% haematoma, 3.33% carotid artery puncture and 5% recorded catheter malposition in group B. No such complication was recorded in group A. Conclusion: From the present study it has been observed that the real time ultrasound guided method is superior over the landmark method for the internal jugular vein cannulation in critical care patients. The ultrasonography guided internal jugular vein cannulation minimises the time, number of attempts and complications as compared to the landmark technique.

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[Nusrat Jehan, Mudasir Mohammad Rangraiz and Mubasher Ahmad. (2017); COMPARISON OF CENTRAL VENOUS CANNULATION OF RIGHT INTERNAL JUGULAR VEIN BY LANDMARK BASED APPROACH AND REAL-TIME ULTRASOUND GUIDED CANNULATION IN CRITICAL CARE PATIENTS. Int. J. of Adv. Res. 5 (Apr). 923-926] (ISSN 2320-5407). www.journalijar.com

Dr Mudasir Mohammad Rangraiz
GMC Srinagar

DOI:

Article DOI: 10.21474/IJAR01/3896      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3896

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