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Type of Article : Original Article

Year: 2014 | Volume 2 | Issue 4 | Page No. 757-760

Date of Publication: 31-12-2014

DOI: 10.16965/ijar.2014.541

A COMPARATIVE STUDY BETWEEN ULTRASOUND GUIDED CATHETERIZATION OF THE INTERNAL JUGULAR VEIN AND CLASSICAL LAND MARK TECHNIQUE

Henjarappa K S ¹, Pavan P Havaldar ², Hussain Saheb Shaik *³.

¹ Assistant Professor in Anaesthesia, Kidwai Memorial Institute Of Oncology, Bangalore, Karnataka, India.
^2&*3 Assistant Professor of Anatomy, JJM Medical College, Davangere, Karnataka, India.

Address: Shaik Hussain Saheb, Assistant Professor of Anatomy, JJM Medic al College, Davangere. Karnataka, India. M.No: +919242056660
E-Mail: anatomyshs@gmail.com

Abstract

Background: Catheterization of Internal Jugular Vein (IJV) is commonly attempted to obtain central venous access for hemodynamic monitoring, long term administration of fluids, total parenteral nutrition and hemodialysis in critical care patients. The safe puncture of the IJV is achieved by using anatomical land marks on skin surface. Ultrasound guidance could be beneficial in placing central venous catheters by improving the success rate, reducing the number of needle passes, decreasing access time and decreasing complications.
Material and Methods: Sixty critical care patients were selected for IJV cannulation either by land mark technique or by ultrasound guided technique in two groups of thirty each.
Results: In our study there was 100% success rate for first attempt cannulation in USG technique and where as it was 83.3% in LMG technique. The mean access time in USG technique was 152.50 ± 63.90 sec as against 323.23 ± 146.19 sec in LMG group.
Conclusion: Ultrasound guided technique improves the cannulation of the IJV  with respect to safety, rapidity and comfort to the patient during the procedure.
KEYWORDS:  Central venous cannulation, Internal Jugular Vein, Land marks, Ultrasound.

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Henjarappa K S, Pavan P Havaldar, Hussain Saheb Shaik. A COMPARATIVE STUDY BETWEEN ULTRASOUND GUIDED CATHETERIZATION OF THE INTERNAL JUGULAR VEIN AND CLASSICAL LAND MARK TECHNIQUE. Int J Anat Res 2014;2(4):757-760. DOI: 10.16965/ijar.2014.541