Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres
Background and Aims: The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an unpredictable success rate. There is an encouraging literature on the improved success rate of CVC through EJV with the inclusion of certa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=12;spage=985;epage=989;aulast=Magoon |
| _version_ | 1829472142551416832 |
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| author | Rohan Magoon Surender Kumar Malhotra Vikas Saini Ridhima Sharma Jasleen Kaur |
| author_facet | Rohan Magoon Surender Kumar Malhotra Vikas Saini Ridhima Sharma Jasleen Kaur |
| author_sort | Rohan Magoon |
| collection | DOAJ |
| description | Background and Aims: The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an unpredictable success rate. There is an encouraging literature on the improved success rate of CVC through EJV with the inclusion of certain body manoeuvres. This prospective randomised controlled study was conducted with the aim of evaluating the efficacy of body manoeuvres in improving the success rate of CVC through EJV. Methods: One hundred patients aged 18–50 years, scheduled for elective surgery requiring CVC, were randomly assigned to either undergo CVC using Seldinger technique with body manoeuvres or a control group undergoing CVC without body manoeuvres. The primary outcome was the success rate of CVC, as observed in the post-procedure chest radiograph. Secondary outcomes included quality of central venous pressure waveform, catheterisation attempts, total time for CVC, complications. Results: CVC was achieved in 98% (49/50) of patients in study group and 80% (40/50) of patients in control group (P = 0.008). Mean catheterisation time was significantly lower in the study group (151.06 ± 40.50 s) compared to control group (173.50 ± 50.66 s) (P = 0.023). The incidence of catheter misplacement and failure to cannulate were lower in the study group (0%, 2% vs. 20%, 12.5%, respectively). Groups did not differ in a number of catheterisation attempts and incidence of haematoma. Conclusion: Inclusion of various body manoeuvres to Seldinger technique significantly improves the success rate of CVC through EJV. |
| first_indexed | 2024-12-14T02:07:51Z |
| format | Article |
| id | doaj.art-207e054bad15400e8d83351f8f7ed825 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-12-14T02:07:51Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-207e054bad15400e8d83351f8f7ed8252022-12-21T23:20:50ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172017-01-01611298598910.4103/ija.IJA_423_17Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvresRohan MagoonSurender Kumar MalhotraVikas SainiRidhima SharmaJasleen KaurBackground and Aims: The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an unpredictable success rate. There is an encouraging literature on the improved success rate of CVC through EJV with the inclusion of certain body manoeuvres. This prospective randomised controlled study was conducted with the aim of evaluating the efficacy of body manoeuvres in improving the success rate of CVC through EJV. Methods: One hundred patients aged 18–50 years, scheduled for elective surgery requiring CVC, were randomly assigned to either undergo CVC using Seldinger technique with body manoeuvres or a control group undergoing CVC without body manoeuvres. The primary outcome was the success rate of CVC, as observed in the post-procedure chest radiograph. Secondary outcomes included quality of central venous pressure waveform, catheterisation attempts, total time for CVC, complications. Results: CVC was achieved in 98% (49/50) of patients in study group and 80% (40/50) of patients in control group (P = 0.008). Mean catheterisation time was significantly lower in the study group (151.06 ± 40.50 s) compared to control group (173.50 ± 50.66 s) (P = 0.023). The incidence of catheter misplacement and failure to cannulate were lower in the study group (0%, 2% vs. 20%, 12.5%, respectively). Groups did not differ in a number of catheterisation attempts and incidence of haematoma. Conclusion: Inclusion of various body manoeuvres to Seldinger technique significantly improves the success rate of CVC through EJV.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=12;spage=985;epage=989;aulast=MagoonCentral venous catheterisationexternal jugular veinSeldinger technique |
| spellingShingle | Rohan Magoon Surender Kumar Malhotra Vikas Saini Ridhima Sharma Jasleen Kaur Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres Indian Journal of Anaesthesia Central venous catheterisation external jugular vein Seldinger technique |
| title | Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres |
| title_full | Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres |
| title_fullStr | Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres |
| title_full_unstemmed | Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres |
| title_short | Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres |
| title_sort | randomised controlled trial of central venous catheterisation through external jugular vein a comparison of success with or without body manoeuvres |
| topic | Central venous catheterisation external jugular vein Seldinger technique |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=12;spage=985;epage=989;aulast=Magoon |
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