Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients

2003 ◽  
Vol 11 (3) ◽  
pp. 148-155 ◽  
Author(s):  
U. Mey ◽  
A. Glasmacher ◽  
C. Hahn ◽  
M. Gorschlüter ◽  
C. Ziske ◽  
...  
2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Konstantinos Stefanidis ◽  
Nicos Pentilas ◽  
Stavros Dimopoulos ◽  
Serafim Nanas ◽  
Richard H. Savel ◽  
...  

Objective.Echogenic technology has recently enhanced the ability of cannulas to be visualized during ultrasound-guided vascular access. We studied whether the use of an EC could improve visualization if compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided internal jugular vein (IJV) cannulation in the intensive care unit (ICU).Material and Methods.We prospectively enrolled 80 mechanically ventilated patients who required central venous access in a randomized study that was conducted in two medical-surgical ICUs. Forty patients underwent EC and 40 patients were randomized to NEC. The procedure was ultrasound-guided IJV cannulation via a transverse approach.Results.The EC group exhibited increased visibility as compared to the NEC group (88%  ± 8% versus 20%  ± 15%, resp.P<0.01). There was strong agreement between the procedure operators and independent observers (k=0.9; 95% confidence intervals assessed by bootstrap analysis = 0.87–0.95;P<0.01). Access time (5.2 s ± 2.5 versus 10.6 s ± 5.7) and mechanical complications were both decreased in the EC group compared to the NEC group (P<0.05).Conclusion.Echogenic technology significantly improved cannula visibility and decreased access time and mechanical complications during real-time ultrasound-guided IJV cannulation via a transverse approach.


2010 ◽  
Vol 27 (3) ◽  
pp. 300-303 ◽  
Author(s):  
Clin I Mitre ◽  
Adela Golea ◽  
Iurie Acalovschi ◽  
Teodora Mocan ◽  
Ana-Maria Caea ◽  
...  

2007 ◽  
Vol 13 (2) ◽  
pp. 185-189 ◽  
Author(s):  
G.F. Xu ◽  
D.C. Suh ◽  
H.W. Pyun ◽  
H. Yoo ◽  
S.W. Lee ◽  
...  

Formation of an iatrogenic subclavian artery pseudoaneurysm while attempting central venous access through the internal jugular vein is relatively uncommon. However, management of a subclavian artery pseudoaneurysm remains a challenge because of its growing tendency and its relation to the origin of the vertebral artery (VA). We report a strategy for using a covered stent as for the endovascular treatment of a patient with a repeatedly regrowing subclavian artery pseudoaneurysm at the origin of the VA.


Code Blue ◽  
2014 ◽  
pp. 95-100
Author(s):  
Rahul Jandial ◽  
Danielle D. Jandial

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