TY  - JOUR
T1  - The Effectiveness of Real-Time Ultrasound-Guided Central Venous Catheterization:
A Comparison with the Landmark Technique in Jordanian Patients
AU - Bani Hani, Amjad AU - Shatarat, Amjad AU - Ayoub, Rami AU - Moh`d Alrawashdeh, Baeth AU - Malkawi, Amir AU - Al-Tamimi, Zahraa AU - Alsmady, Moaath AU - Bsisu, Isam AU - Abu Abeeleh, Mahmoud 
JO  - Research Journal of Medical Sciences
VL  - 13
IS  - 6
SP  - 109
EP  - 114
PY  - 2019
DA  - 2001/08/19
SN  - 1815-9346
DO  - rjmsci.2019.109.114
UR  - https://makhillpublications.co/view-article.php?doi=rjmsci.2019.109.114
KW  - Landmark
KW  -ultrasound
KW  -central venous catheter
KW  -internal jugular vein
KW  -ultrasonography
KW  -reduce
AB  - Real-time ultrasound-guided Central Venous Catheterization (CVC) has been demonstrated to reduce
insertion and procedure time as well as having less complications when compared to the landmark-guided
technique. This technique was newly introduced to Jordan University Hospital (JUH) and the aim of this study
is to report our experience in both techniques. Medical records of 203 patients who needed central venous
catheterization in the JUH between May, 2016 and May, 2017 were reviewed. The ultrasound-guided group
included 102 patients while the landmark-guided group included 101 patients. The duration of catheter
insertion, procedure duration and complications were considered. The average number of catheterization
attempts in the ultrasound-guided group was significantly less when compared with the landmark-guided group
(p<0.001). Furthermore, the duration of insertion and the duration of the procedure were both significantly
shorter in the ultrasound-guided group compared to the landmark group (p<0.001 for both). Carotid artery
punctures and hematoma formation were also significantly less in the ultrasound-guided group compared with
the landmark group (p = 0.019). The ultrasound-guided method for central venous catheterization could
increase the efficiency and reduce medical complications which justifies the costs of implementing this
technique.
ER  -