The success rate and safety of internal jugular vein cannulation using anatomical landmark technique in patients undergoing cardiothoracic surgery

Autor: Harpreet Singh Minhas, Jyotsna Agarwal, Deepak K Tempe, Subodh Satyarthy, Sanjula Virmani, Manisha Hemrajani
Rok vydání: 2013
Předmět:
Male
lcsh:Diseases of the circulatory (Cardiovascular) system
Levosimendan
Systemic vascular resistance index
Total intravenous anesthesia
Dobutamine
Cardiothoracic surgical patients
OPCAB
Prospective Studies
Prospective cohort study
Aged
80 and over
Hematoma
Medical Errors
General Medicine
Middle Aged
Heart Valves
Catheter
Cardiothoracic surgery
Child
Preschool
Female
Cardiology and Cardiovascular Medicine
Adult
Heart Defects
Congenital
Catheterization
Central Venous
medicine.medical_specialty
Adolescent
Internal jugular vein cannulation
Cardiac index
lcsh:RD78.3-87.3
Sevoflurane
Young Adult
medicine
Humans
In patient
Cardiac Surgical Procedures
Internal jugular vein
Myocardial protection
Aged
business.industry
Hemodynamics
Thoracic Surgical Procedures
Landmark-guided IJV cannulation
Surgery
Anatomical landmark
Anesthesiology and Pain Medicine
lcsh:Anesthesiology
lcsh:RC666-701
Jugular Veins
Carotid Artery Injuries
Complication
business
Desflurane
External jugular vein
Zdroj: Annals of Cardiac Anaesthesia, Vol 16, Iss 1, Pp 16-20 (2013)
ISSN: 0971-9784
DOI: 10.4103/0971-9784.105364
Popis: Aims and objectives: Landmark-guided internal jugular vein (IJV) cannulation is a basic procedure, which every anesthetist is expected to acquire. A successful first attempt is desirable as each attempt increases the risk of complications. The present study is an analysis of 976 IJV cannulations performed in adults undergoing cardiothoracic surgery. Materials and Methods: The IJV was cannulated with a triple lumen catheter using the anatomical landmarks. The following data were recorded: Patient demographics, age, sex, body mass index, diagnosis, operative procedure, operator (resident/consultant), site of cannulation (central approach, right IJV, left IJV, external jugular vein), number of attempts and duration of cannulation, length of insertion of the catheter, number of correct placements on X-ray and any complications. Results: The success rate of IJV cannulation was 100%. In 809 (82.9%) patients, cannulation was performed in the first attempt. Residents performed 792 cannulations and the consultants performed 184 cannulations. In 767 patients, the residents were successful in inserting the catheter and in 25 they failed after 5 attempts, hence, they were cannulated by the consultant. The time taken for insertion of the catheter was 6.89 ± 3.2 minutes. Carotid artery puncture was the most common complication, it occurred in 22 (2.3%) patients. Conclusion: IJV cannulation with landmark technique is highly successful with minimal complications in the adult patients undergoing cardiothoracic surgery. Basic training of cannulating the IJV by landmark technique should be imparted to all the traines as ultrasound may not be available in all locations.
Databáze: OpenAIRE
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