American Journal of Internal Medicine

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Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU

Received: 09 September 2019    Accepted: 04 October 2019    Published: 15 October 2019
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Abstract

The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.

DOI 10.11648/j.ajim.20190705.15
Published in American Journal of Internal Medicine (Volume 7, Issue 5, September 2019)
Page(s) 132-135
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

B-ultrasound Guidance, Iindwelling Needle of External Jugular Vein, Puncture, Patient in General ICU, Advantage

References
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[2] Adhikari, S., Schmier, C., & Marx, J. (2015). Focused simulation training: emergency department nurses’ confidence and comfort level in performing ultrasound-guided vascular access. The Journal of Vascular Access, 16 (6), 515-520.
[3] Morgan, R. A., Walser, E. M., & Patel, U. (1996). Ultrasound-guided catheterisation of the internal jugular vein. European Journal of Ultrasound, 3 (3), 1155-1156. G.
[4] Buzançais, Roger, C., Bastide, S., Jeannes, P., & Muller, L. (2016). Comparison of two ultrasound guided approaches for axillary vein catheterization: a randomized controlled non-inferiority trial. BJA British Journal of Anaesthesia, 116 (2), 215-222.
[5] Mccarthy, M. L., Shokoohi, H., Boniface, K. S., Eggelton, R., & Zeger, S. L. (2015). Ultrasonography versus landmark for peripheral intravenous cannulation: a randomized controlled trial. Annals of emergency medicine, 68 (1), 10-18.
[6] Duran-Gehring, P., Bryant, L., Reynolds, J. A., Aldridge, P., Kalynych, C. J., & Guirgis, F. W. (2016). Ultrasound-guided peripheral intravenous catheter training results in physician-level success for emergency department technicians. Journal of Ultrasound in Medicine, 35 (11): 2343–52.
[7] Bridey Céline, Nathalie, T., Thomas, L., Adeline, M. R., Maxime, M., & Bruno, L., et al. (2018). Ultrasound-guided versus landmark approach for peripheral intravenous access by critical care nurses: a randomised controlled study. BMJ Open, 8 (6), e020220.
[8] Kasatkin, A. A., Urakov, A. L., & Nigmatullina, A. R. (2017). Using ultrasonography to determine optimal head-down tilt position angle in patients before catheterization of the internal jugular vein. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 21 (3), 160-162.
[9] Kitagawa, N., Oda, M., Totoki, T., Miyazaki, N., Nagasawa, I., & Nakazono, T., et al. (2004). Proper shoulder position for subclavian venipuncture: a prospective randomized clinical trial and anatomical perspectives using multislice computed tomography. Anesthesiology, 101 (6), 1306-12.
[10] Ghatak, T., Singh, R. K, & Baronia, A. K. (2016). Comparison between marked versus unmarked introducer needle in real-time ultrasound-guided central vein cannulation: a prospective randomized study. Annals of Cardiac Anaesthesia, 19 (4), 621-625.
[11] Lim, T., Ryu, H. G., Jung, C. W., Jeon, Y., & Bahk, J. H. (2012). Effect of the bevel direction of puncture needle on success rate and complications during internal jugular vein catheterization. Critical Care Medicine, 40 (2), 491.
[12] Povoski, S. P. (2004). External jugular vein cutdown approach for chronic indwelling central venous access in cancer patients: a potentially useful alternative. World Journal of Surgical Oncology, 2 (1), 7.
[13] Jing, W., Rong, H., Li, J., Xia, Z. H., Yu, Z. H., & Ke, Z. (2016). The power peripherally inserted central catheter is superior to a central venous catheter in management of patients with esophageal variceal bleeding undergoing devascularization. Jpma the Journal of the Pakistan Medical Association, 66 (Suppl 3) (10), S59.
[14] Butterfield, M., Abdelghani, R., Mohamad, M., Limsuwat, C., & Kheir, F. (2015). Using ultrasound-guided peripheral catheterization of the internal jugular vein in patients with difficult peripheral access. American Journal of Therapeutics, 43 (12 Suppl 1).
[15] Costantino, T. G., Kirtz, J. F., & Satz, W. A. (2010). Ultrasound-guided peripheral venous access vs. the external jugular vein as the initial approach to the patient with difficult vascular access. Journal of Emergency Medicine, 39 (4), 0-467.
[16] Mey, U., Glasmacher, A., Hahn, C., M. Gorschlüter, Ziske, C., & Mergelsberg, M., et al. (2003). Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients. Supportive Care in Cancer, 11 (3), 148-155.
[17] Laksonen, R. P., & Gasiewicz, N. K. (2015). Implementing a program for ultrasound-guided peripheral venous access. Nursing Clinics of North America, 50 (4), 771-785.
Author Information
  • Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

Cite This Article
  • APA Style

    Su Qing, Guo Xiaoxia, Lv Weitao, Huang Guohua. (2019). Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. American Journal of Internal Medicine, 7(5), 132-135. https://doi.org/10.11648/j.ajim.20190705.15

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    ACS Style

    Su Qing; Guo Xiaoxia; Lv Weitao; Huang Guohua. Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. Am. J. Intern. Med. 2019, 7(5), 132-135. doi: 10.11648/j.ajim.20190705.15

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    AMA Style

    Su Qing, Guo Xiaoxia, Lv Weitao, Huang Guohua. Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. Am J Intern Med. 2019;7(5):132-135. doi: 10.11648/j.ajim.20190705.15

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  • @article{10.11648/j.ajim.20190705.15,
      author = {Su Qing and Guo Xiaoxia and Lv Weitao and Huang Guohua},
      title = {Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU},
      journal = {American Journal of Internal Medicine},
      volume = {7},
      number = {5},
      pages = {132-135},
      doi = {10.11648/j.ajim.20190705.15},
      url = {https://doi.org/10.11648/j.ajim.20190705.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20190705.15},
      abstract = {The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU
    AU  - Su Qing
    AU  - Guo Xiaoxia
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    AU  - Huang Guohua
    Y1  - 2019/10/15
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    JO  - American Journal of Internal Medicine
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    EP  - 135
    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ajim.20190705.15
    AB  - The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.
    VL  - 7
    IS  - 5
    ER  - 

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