Ultrasound-guided internal jugular vein access : comparison between short axis and long axis techniques
المؤلفون المشاركون
Tamam, Tariq F.
al-Shafii, Id M.
Tamam, Husam F.
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 24، العدد 4 (31 ديسمبر/كانون الأول 2013)، ص ص. 707-713، 7ص.
الناشر
تاريخ النشر
2013-12-31
دولة النشر
السعودية
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
- المرضى
- القلب
- الأوعية الدموية
- القسطرة
- المضاعفات(الطب)
- التصوير الصوتي
- التصوير بالموجات فوق الصوتية
- الوريد الوداجي
الملخص EN
The use of real-time ultrasound (US) is advantageous in the insertion of central venous catheters (CVCs) in adults, especially in whom difficulties are anticipated for various reasons.
The aim of the present study was to compare two different real-time 2-dimensional US-guided techniques [short axis view / out-of-plane approach (SAX OOP approach) versus long axis view / in-plane approach (LAX IP approach)] for internal jugular vein (IJV) cannulation.
In this prospective study, 90 critical care and hemodialysis patients were assigned for insertion of CVCs using either the real-time US-guided (SAX OOP approach or LAX IP approach) or landmark technique (control group).
Failed catheter placement, risk of complications from placement, failure on first attempt at placement, number of attempts until successful catheterization, time to successful catheterization, incidence of central line-associated blood stream infection (CLA-BSI) and demographics of each patient were recorded.
There were no significant differences in patient's demographic characteristics, side of cannulation (right or left) or presence of risk factors for difficult venous cannulation between the three groups of patients.
Cannulation of the IJV was achieved in all patients by using US (SAX OOP and LAX IP approaches) and in 27 of the patients (90 %) by using the landmark technique (P = 0.045).
Average access time (skin to vein) and number of attempts were comparable between the SAX OOP and the LAX IP approaches while significantly reduced in both US groups of patients compared with the landmark group (P < 0.001).
In the landmark group, puncture of the carotid artery occurred in 16.7 % of the patients, hematoma in 23.3 % of the patients, pneumothorax in 3.3 % of the patients and CLA-BSI in 20 % of the patients, which were all significantly increased compared with the US group (P < 0.05).
The findings of this study suggest that the SAX OOP and LAX IP approaches were comparable for cannulation of IJV in critical care and hemodialysis patients.
Furthermore, both US-guided techniques were superior to the landmark technique for insertion of CVCs.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Tamam, Tariq F.& al-Shafii, Id M.& Tamam, Husam F.. 2013. Ultrasound-guided internal jugular vein access : comparison between short axis and long axis techniques. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 4, pp.707-713.
https://search.emarefa.net/detail/BIM-328612
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Tamam, Tariq F.…[et al.]. Ultrasound-guided internal jugular vein access : comparison between short axis and long axis techniques. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 4 (2013), pp.707-713.
https://search.emarefa.net/detail/BIM-328612
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Tamam, Tariq F.& al-Shafii, Id M.& Tamam, Husam F.. Ultrasound-guided internal jugular vein access : comparison between short axis and long axis techniques. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 4, pp.707-713.
https://search.emarefa.net/detail/BIM-328612
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 713
رقم السجل
BIM-328612
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر