Ultrasound Guidance Increases the Safety and Ease of Insertion of Central Venous Catheters in Patients Undergoing Elective Procedures. | [Anaesthesia, Pain and Intensive Care • 2015]

Author(s):

1. Abdul Rehman: Quaid-e-Azam International Hospital, Islamabad, Pakistan

2. Huma Zeb: Quaid-e-Azam International Hospital, Islamabad, Pakistan

3. Abid Ullah Khan Niazi: Quaid-e-Azam International Hospital, Islamabad, Pakistan

Abstract:

Objective: To determine the advantages of ultrasound guided central venous catheter insertion over anatomical land mark technique regarding ease of insertion and safety. Study Design: Comparative, cross-sectional study Methodology: Sixty elective patients requiring central venous catheter were selected and randomly divided into two groups, e.g. ultrasound and anatomical landmark groups. Central catheter was inserted under aseptic measures by the same operator. Variables including ease of access, number of attempts, arterial punctures and other complications in both groups were recorded. Results: Ultrasound guidance in central catheter insertion resulted in a statistically significant ease of insertion (P = 0.024). while decreasing number of attempts to gain venous access as compared to the anatomical landmark group (p = 0.0453). Two cases of arterial puncture were recorded in the anatomical landmark group while no arterial puncture occurred in the ultrasound group. P <0.05 was considered significant. Conclusion: Ultrasonographic guidance for central catheter insertion makes it easy and safe as it allows better identification of vascular structures. It also reduces the rate of complications associated with central catheter insertion and improves the success rate thereby justifies its cost.

Page(s): 474-477

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 19, Issue: 4, Year: 2015

Keywords:

Keywords are not available for this article.

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