Anatomical Landmark Guided versus Ultrasound-Guided Technique for Subclavian Vein Cannulation in Critically Ill Patients
| Autor: | Amol P. Singam, Ashok Chaudhary, Shruti Shrey |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Journal of Krishna Institute of Medical Sciences University, Vol 08, Iss 04, Pp 50-57 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2231-4261 39677648 |
| Popis: | Background: Central Venous Access (CVA) is a common requirement in the critically ill patient for a variety of indications including Central Venous Pressure (CVP) monitoring, haemodialysis, placement of pulmonary artery catheters, cardiac pacing and for administration of drugs especially vasoactive, chemotherapy agents and parenteral nutrition. Traditionally, Central Venous Catheter (CVC) placement is performed using Landmark (LM) technique and is associated with complications like arterial puncture, pneumothorax, hemothorax, air embolism, catheter embolism, and cardiac arrhythmias. Use of Ultrasound (US) is currently indicated for various clinical situations to reduce complication rate of LM technique. Aim and Objectives: The purpose of this study was to determine whether US guidance could improve the success rate, number of attempts, and rate of acute complications like inadvertent arterial puncture, hematoma formation, and pneumothorax of subclavian venous catheterization. Material and Methods: Sixty patients in need of central venous catheter were prospectively randomized in two groups of 30 each. In the LM group patients were catheterized using the LM method and in US group patients were catheterized by real-time US-guidance. Number of attempts, success rate, access time and complications like accidental subclavian artery puncture, haematoma formation, pneumothorax, were recorded. p values |
| Databáze: | Directory of Open Access Journals |
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