A comparative study of safety and efficacy of ultrasound-guided infra-clavicular axillary vein cannulation versus ultrasound-guided internal jugular vein cannulation in adult cardiac surgical patients

Autor:	Anvay Mulay, Amish Jasapara, Kishan Bansode, Vijay Shetty, Prajakta D Shinde, Rohit Bunage
Rok vydání:	2019
Předmět:	Adult Male Catheterization Central Venous lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty law.invention lcsh:RD78.3-87.3 Randomized controlled trial law medicine Humans Anesthesia Local anesthesia Prospective Studies Cardiac Surgical Procedures Internal jugular vein Ultrasonography Interventional Aged ultrasound business.industry Ultrasound General Medicine Middle Aged axillary vein Cardiac surgery Surgery Treatment Outcome Anesthesiology and Pain Medicine lcsh:Anesthesiology lcsh:RC666-701 Female Jugular Veins Cardiology and Cardiovascular Medicine business Axillary vein Subclavian vein Surgical patients
Zdroj:	Annals of Cardiac Anaesthesia, Vol 22, Iss 2, Pp 177-186 (2019)
ISSN:	0971-9784
Popis:	Background: Ultrasound (US)-guided internal jugular vein (IJV) cannulation is a widely accepted standard procedure. The axillary vein (AV) in comparison to the subclavian vein is easily visualized, but its cannulation is not extensively studied in cardiac patients. Aims: This study is an attempt to study the efficacy of real-time US-guided axillary venous cannulation as a safe alternative for the time-tested US-guided IJV cannulation. Design: This is a prospective randomized controlled study. Materials and Methods: A total of 100 adult patients scheduled for cardiac surgery were divided equally in Group A-US-guided IJV cannulation, and Group B-US-guided axillary venous cannulation. Under local anesthesia and real-time US guidance the IJV or AV was secured. The access time, guidewire time, and procedure time were noted. Furthermore, the number of needle attempts, malposition, change of site, and complications were noted. Results: The data were analyzed for 49 patients in Group A and 48 patients in the Group B due to exclusions. The access time and the guidewire time were comparable in both groups. The first attempt needle puncture was successful for the IJV group in 98% of patients in comparison to 95% of patients in Group B. Guidewire was passed in the first attempt in 94% in Group A and 89% in the Group B. Except for arterial puncture in one case in group A, the complications were insignificant in both groups. Conclusion: The study shows that the US-guided AV cannulation may serve as an effective alternative to the IJV cannulation in cardiac surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::de751324bd61857efdad0a6dac9575c2 https://doi.org/10.4103/aca.aca_24_18 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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