Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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A Comparative Study Between Real time Ultrasound Guided Catheterisation of the Internal Jugular Vein with External Landmark Technique in Patients Undergoing Cardiac Surgery
Yuvaraj Shashidhar, Sainath , Shivanand and R.M. Akshay
Page: 66-72 | Received 25 Jun 2024, Published online: 20 Jul 2024
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Abstract
Catheterization of central veins (CVC) is one of the most commonly performed invasive procedure amongst patients undergoing cardiovascular surgery. These catheters plays an important role in pre‐operative, intraoperative as well as post‐operative phase. To compare ultrasound guided versus external landmark technique for internal jugular vein access. The present study was conducted in Department of Anesthesiology, Gandhi Medical College and associated Hamidia Hospital Bhopal on a total of 60 patients scheduled for elective or emergency cardiac surgery. All the patients were randomly divided into two groups with 30 patients in each group. Group 1‐the landmark guided technique group (LMG). Group 2‐the ultrasound guided group (USG). Mean age of patients of landmark guided technique group (LMG) was 45.83±11.48 years whereas mean age of patients of ultrasound guided group (USG) was 43.43±13.38 years. Majority of patients in both the groups were males. Mean weight and neck circumference were comparable between two groups (p>0.05). Most common site for IJV cannulation was right internal jugular vein both the groups. Mean access time was significantly lower in USG group (2.36±1.1 minute) as compared to LMG group (5.12±1.6 minute) (p<0.01). Mean number of attempts were documented to be significantly higher in LMG group (1.38±0.6) as compared to single attempt in USG group (p<0.01). The study documented no significant difference in complication rates between two groups (p>0.05). Ultrasound guided technique significantly improve the success rate and decrease the number of attempts required for IJV catheterization. USG guided technique was better in terms of number of attempts, success rate and mean access time as compared to landmark technique.
How to cite this article:
Yuvaraj Shashidhar, Sainath , Shivanand and R.M. Akshay. A Comparative Study Between Real time Ultrasound Guided Catheterisation of the Internal Jugular Vein with External Landmark Technique in Patients Undergoing Cardiac Surgery.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.66.72
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.66.72