The three-step method for ultrasound-guided pediatric internal jugular venous catheterization: a clinical trial.

Autor: Tadokoro T; Department of Anesthesia, Okinawa Prefectural Miyako Hospital, 427-1, Hirara Shimozato, Miyakojima, Okinawa, 906-0013, Japan, rover2727@yahoo.co.jp., Tokumine J, Lefor AT, Kawabata T, Yoza K, Kinjo T
Jazyk: angličtina
Zdroj: Journal of anesthesia [J Anesth] 2015 Feb; Vol. 29 (1), pp. 131-3. Date of Electronic Publication: 2014 Jul 01.
DOI: 10.1007/s00540-014-1869-8
Abstrakt: Ultrasound guidance may be a valuable adjunct for pediatric internal jugular vein catheterization. We previously reported a long-axis in plane technique, called the "three-step method", resulting in high success and a low complication rate by novice operators in adult patients. This is the first report of ultrasound-guided internal jugular vein catheterization (US-IJV) using the three-step method in pediatric patients. Fourteen junior residents underwent simulation training, and then participated in a clinical trial. They performed US-IJV in 14 pediatric patients with congenital heart disease before undergoing cardiac surgery under supervision of an experienced clinician. The overall success rate was 93 %, and all catheterizations were performed within two venipunctures. There were no complications associated with the procedure. The three-step method may facilitate pediatric US-IJV even by a novice operator during their first experience.
Databáze: MEDLINE