<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction:</bold>Central venous catheterization is performed by the landmark method and ultrasound guided method. The purpose of the study was to compare the success, average number of attempts, average time to return of blood, and complication rate between the two methods.<bold>Material and Methods:</bold>This was a prospective study done in the Intensive Care Unit of the Acibadem Sistina Clinical Hospital, in Skopje. There were 400 patients in need of central venous catheter and they were prospectively randomized in two groups. The patients randomized in the examined-ultrasound group underwent real-time ultrasound-guided catheterization and the patients randomized in the control-landmark group were catheterized using the landmark method. Internal Jugular, Subclavian and Femoral vein were catheterized in both groups. The Overall success, success on the first attempt, time to the return of blood, number of attempts and complications at the moment of catheterization such as arterial puncture, pneumothorax and hematoma formation were the main outcome measures.<bold>Results:</bold>The catheterization using the landmark method was successful in 90.5% of patients, 60.5% of which during the first attempt. The cannulation using real-time ultrasound guidance was successful in 98% of patients with a first pass success of 77%. The complication rate with the landmark method was 14.5% versus 4% with real-time ultrasound guidance p&lt;0.05(p=0.0008).<bold>Conclusion:</bold>Real-time ultrasound guidance improves success, decreases number of attempts, decreases average time to the return of blood and reduces mechanical complications rate.</abstract>

Introduction:Central venous catheterization is performed by the landmark method and ultrasound guided method. The purpose of the study was to compare the success, average number of attempts, average time to return of blood, and complication rate between the two methods.Material and Methods:This was a prospective study done in the Intensive Care Unit of the Acibadem Sistina Clinical Hospital, in Skopje. There were 400 patients in need of central venous catheter and they were prospectively randomized in two groups. The patients randomized in the examined-ultrasound group underwent real-time ultrasound-guided catheterization and the patients randomized in the control-landmark group were catheterized using the landmark method. Internal Jugular, Subclavian and Femoral vein were catheterized in both groups. The Overall success, success on the first attempt, time to the return of blood, number of attempts and complications at the moment of catheterization such as arterial puncture, pneumothorax and hematoma formation were the main outcome measures.Results:The catheterization using the landmark method was successful in 90.5% of patients, 60.5% of which during the first attempt. The cannulation using real-time ultrasound guidance was successful in 98% of patients with a first pass success of 77%. The complication rate with the landmark method was 14.5% versus 4% with real-time ultrasound guidance p<0.05(p=0.0008).Conclusion:Real-time ultrasound guidance improves success, decreases number of attempts, decreases average time to the return of blood and reduces mechanical complications rate.

Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

University Clinic for Traumatology, Orthopedics, Anesthesia, Reanimation and Intensive Care

PRILOZI

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Introduction:Central venous catheterization is performed by the landmark method and ultrasound guided method. The purpose of the study was to compare the...

Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

Published Online: Oct 07, 2017

Page range: 107 - 114

DOI: https://doi.org/10.1515/prilozi-2017-0028

Keywords
Landmark, ultrasound, central venous cauterization

© 2017 Darko Sazdov et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

Published Online: Oct 07, 2017

Page range: 107 - 114

DOI: https://doi.org/10.1515/prilozi-2017-0028

KeywordsLandmark, ultrasound, central venous cauterization

© 2017 Darko Sazdov et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
Landmark, ultrasound, central venous cauterization