scholarly journals A Review of Various Techniques of Central Venous Catheter Insertion

2021 ◽  
Vol 6 (3) ◽  
pp. 204-207
Author(s):  
Shallu Chaudhary ◽  
Major Amit Atwal
Keyword(s):  
Internal Jugular Vein ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Standard Procedure ◽  
Femoral Vein ◽  
Seldinger Technique ◽  
Axillary Vein ◽  
Central Venous ◽  
Venous Catheterization ◽  
Landmark Technique

Central venous catheterization is a standard procedure used in the resuscitation of critically ill patients. There are different routes of CVP insertion which are:- subclavian vein, internal jugular vein, axillary vein and femoral vein. Each route has its own set of complications like artery puncture, pneumothorax, nerve injury, infections. Initially catheters were inserted by the landmark technique using guidewire through the needle commonly called seldinger technique. The landmark technique is found to be associated with a higher range of mechanical complications. The use of USG however has proved to improve the success rate and decrease the complications. Keywords: Central venous catheterization, resuscitation, internal jugular vein.

scholarly journals Ultrasound guided versus land mark technique for internal jugular central venous catheterization in cardiac surgical patients- a randomized trial

2016 ◽  
Vol 3 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Santosh Sharma Parajuli ◽  
Jeju Nath Pokharel
Keyword(s):  
Internal Jugular Vein ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Venous Cannulation ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Successful Cannulation ◽  
Venous Catheterization ◽  
Complications Rate ◽  
Landmark Technique

Background: Catheterization of internal jugular vein can be achieved by either anatomical landmark technique or the ultrasound guided technique. The objective of our study is to find out if ultrasound guided technique could be beneficial in placing central venous catheters by improving the success rate by reducing the number of attempts, decreasing the access time and decreasing the complications rate in comparison to the landmark technique.Methods: Fifty patients scheduled for cardiac surgery requiring central venous cannulation of the right internal jugular vein were divided into two groups: ultrasound guided group ‘U’ and the landmark group ‘L’, each consisting of 25 patients with age more than 15 years. The outcomes were compared in terms of success rate, time taken for successful cannulation and rate of complications.Results: The two groups were comparable in terms of age, weight, heart rate and blood pressure. The mean number of attempts for successful cannulation was 1.08±0.277 and 1.40±0.764 (p=0.055), the time taken in seconds for successful cannulation was 108.56±27.822 and 132.08±72.529 (p=0.137) and the overall complication rate was 0% (0 out of 25) and 32% (8 out of 25) (p=0.02) in the ultrasound guided and the landmark technique group respectively.Conclusion: Ultrasound guided central venous catheterization of internal jugular vein is comparable to the landmark technique in terms of number of attempts and the time required for successful cannulation. Ultrasound guided technique is much safer than the landmark technique to reduce the overall complications rate during central venous cannulation.

Right internal jugular vein access for central venous catheterization in a prone COVID-19 patient

2021 ◽  
pp. 112972982110403
Author(s):  
Alessandro Strumia ◽  
Ferdinando Longo ◽  
Lorenzo Schiavoni ◽  
Matteo Martuscelli ◽  
Francesca Claps ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Central Venous ◽  
Vein Access ◽  
Venous Catheterization

Right Internal Jugular Vein Is Recommended for Central Venous Catheterization

2010 ◽  
Vol 23 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Mitsuru Ishizuka ◽  
Hitoshi Nagata ◽  
Kazutoshi Takagi ◽  
Keiichi Kubota
Keyword(s):  
Internal Jugular Vein ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Central Venous ◽  
Venous Catheterization

scholarly journals Covid-19 and a lost guidewire: A misty tale of misery!

2021 ◽  
Vol 8 (4) ◽  
pp. 54-57
Author(s):  
Abhijit Kumar ◽  
Parul Tripathi ◽  
Suman Tiwari ◽  
Malvika Gupta ◽  
Amit Kohli ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Guide Wire ◽  
Femoral Vein ◽  
Seldinger Technique ◽  
Protective Equipment ◽  
Fluoroscopic Guidance ◽  
Routine Procedure ◽  
Central Venous ◽  
Interventional Radiologist ◽  
Venous Catheterization

 Central venous catheterization (CVC) is a routine procedure in patients admitted in Intensive Care Units (ICU) worldwide. Most commonly, seldinger technique is being practiced irrespective of the site of insertion. Though considered very safe, guide wire related complications have been reported in the literature and incidence has increased in the COVID era where intensivists have to work in personal protective equipment (PPE).  We are reporting about a patient of severe COVID-19, admitted in ICU. His right femoral venous catheterization was done to start vasopressors. The guide wire accidentally slipped inside the femoral vein during the procedure. It was immediately detected and managed with the assistance of interventional radiologist under fluoroscopic guidance. Complications like misplacement of guide wire can be catastrophic during CVC. We have discussed the measures that can prevent or reduce such complications while working in PPE in COVID ICUs.

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