Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU
American Journal of Internal Medicine
Volume 7, Issue 5, September 2019, Pages: 132-135
Received: Sep. 9, 2019;
Accepted: Oct. 4, 2019;
Published: Oct. 15, 2019
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Su Qing, Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Guo Xiaoxia, The First Affiliated Hospital, Jinan University, Guangzhou, China
Lv Weitao, Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Huang Guohua, Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
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.
Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU, American Journal of Internal Medicine.
Vol. 7, No. 5,
2019, pp. 132-135.
Teismann, N. A., Knight, R. S., Rehrer, M., Shah, S., Nagdev, A., & Stone, M. (2013). The ultrasound-guided “peripheral ij”: internal jugular vein catheterization using a standard intravenous catheter. The Journal of Emergency Medicine, 44 (1), 150-154.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.