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Randomized comparison of three transducer orientation approaches for ultrasound guided internal jugular venous cannulation


, : Randomized comparison of three transducer orientation approaches for ultrasound guided internal jugular venous cannulation. British Journal of Anaesthesia 116(3): 370-376

Ultrasound-guided internal jugular venous access increases the rate of successful cannulation and reduces the incidence of complications, compared with the landmark technique. Three transducer orientation approaches have been proposed for this procedure: short-axis (SAX), long-axis (LAX) and oblique-axis (OAX). Our goal was to assess and compare the performance of these approaches. A prospective randomized clinical trial was conducted in one teaching hospital. Patients aged 18 yr or above, who were undergoing ultrasound-guided internal jugular cannulation, were randomly assigned to one of three intervention groups: SAX, LAX and OAX group. The main outcome measure was successful cannulation on first needle pass. Incidence of mechanical complications was also registered. Restricted randomization was computer-generated. In total, 220 patients were analysed (SAX n=73, LAX n=75, OAX n=72). Cannulation was successful on first needle pass in 51 (69.9%) SAX patients, 39 (52%) LAX patients and 53 (73.6%) OAX patients. First needle pass failure was higher in the LAX group than in the OAX group (adjusted OR 3.7, 95% CI 1.71-8.0, P=0.002). A higher mechanical complication rate was observed in the SAX group (15.1%) than in the OAX (6.9%) and LAX (4%) groups (P=0.047). As OAX showed a higher first needle pass success rate than LAX and a lower mechanical complications rate than SAX, we recommend it as the standard approach when performing ultrasound-guided internal jugular venous access. Further clinical studies are needed to confirm this conclusion. NCT 01966354.

US$19.90

PMID: 26705350

DOI: 10.1093/bja/aev399


Other references

Bennett Richard H.; Keller George H.; Busby Roswell F., 1970: Mass property variability in three closely spaced deep-sea sediment cores. Data for three 0.5 m cores taken at 20 cm intervals, deep ocean off Puerto Rico.

Tsuruo, T.; Arens, M.; Padmanabhan, R.; Green, M., 1978: An endo dnase of human kb cells purification and properties of the enzyme. An endodeoxyribonuclease was purified 750-fold from human [oral carcinoma] KB cells. The purified endonuclease requires Mg2+ for maximum activity; Mn2+ was less than half as active and Ca2+ inhibited the reaction. The optimum pH is 8.8 in Tris-HCl...

Bourgault, A.M.; Lamothe, F., 1988: Evaluation of the KOH test and the antibiotic disk test in routine clinical anaerobic bacteriology. We have evaluated the KOH test, the antibiotic disk identification test, and the Gram stain reaction for the preliminary grouping of gram-positive and gram-negative anaerobes and have assessed the value of erythromycin 60-micrograms-disk resistanc...

Johansson, A.; Hänström, L.; Kalfas, S., 2001: Inhibition of Actinobacillus actinomycetemcomitans leukotoxicity by bacteria from the subgingival flora. Actinobacillus actinomycetemcomitans produces a pore-forming leukotoxin that lyses human polymorphonuclear leukocytes and monocytes. Certain proteolytic bacteria may coexist with A. actinomycetemcomitans in periodontal pockets. We aimed therefore...

Fitzgerald, J.L.; Mulford, H.A., 1993: Alcohol availability, drinking contexts and drinking problems: the Iowa experience. Before/after survey data were used to investigate the effects that a wine and spirits privatization-induced increase in alcohol availability might have had on drinking contexts and, in turn, what effect any context changes might have had on specif...

Morresi G.; Ingrassia F.; Barciulli F., 1968: Total gonadotropin and lh luteinizing hormone excretion in cases of menstrual cycle alterations and of stein leventhal syndrome under clomiphene metab treatment woman. Rivista di Ostetricia e Ginecologia (Florence) 23(8): 577-584

Coates, H.L.; Gaffey, T.A.; Devine, K.D., 1976: Pathologic quiz case 2. Calcifying adenoma (epithelioma) of Malherbe. Archives of Otolaryngology 102(6): 380-382

Smith, T.E.; Clayton, E.E.; Moss, E.G., 1945: Flue-cured Tobacco resistant to bacterial (Granville) wilt. Bacterial (Granville) wilt of tobacco (Bacterium solanacearum) has caused increasing losses during recent years in the flue-cured belt of North Carolina and Virginia, and is present also in South Carolina and Georgia. About 20 per cent. of the cro...

Dell'Atti, L.; Cuneo, A., 2015: Use of 5-phosphodiesterase inhibitors in patients with LUTS secondary to BPH: our experience and review of the literature. The phosphodiesterase inhibitors are used in the treatment of ED and there are increasing data of effects of these drugs on bladder and urethral relaxation as well as of prostatic smooth muscles that may relief the symptoms of BPH. This study was...

Luo, J.; Kaplitt, M.G.; Fitzsimons, H.L.; Zuzga, D.; Liu, Y.; Oshinsky, M.L.; During, M.J., 2002: SUBTHALAMIC GLUTAMIC ACID DECARBOXYLASE GENE TRANSFER INDUCES HETEROTRANSMISSION AND NEUROPROTECTION in vivo. Parkinsons disease (PD) leads to an alteration in basal ganglia network activity, including disinhibition of the subthalamic nucleus (STN). This leads to excessive activity of the major output nuclei, the substantia nigra pars reticulata (SNr) and...