Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults
Objectives: Vascular access is an important procedure for drug administration during the resuscitation of a patient with cardiac arrest; however, it can be challenging under emergent conditions. This study aimed to investigate the efficiency of ultrasound-guided internal jugular venous access using...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-05-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121231175318 |
| _version_ | 1797822296070553600 |
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| author | Hyun Seok Chai Young-Min Kim Gwan Jin Park Sang Chul Kim Hoon Kim Seok Woo Lee Hyeon Jeong Park Ji Han Lee |
| author_facet | Hyun Seok Chai Young-Min Kim Gwan Jin Park Sang Chul Kim Hoon Kim Seok Woo Lee Hyeon Jeong Park Ji Han Lee |
| author_sort | Hyun Seok Chai |
| collection | DOAJ |
| description | Objectives: Vascular access is an important procedure for drug administration during the resuscitation of a patient with cardiac arrest; however, it can be challenging under emergent conditions. This study aimed to investigate the efficiency of ultrasound-guided internal jugular venous access using a midline catheter versus peripheral intravenous access during cardiopulmonary resuscitation. Methods: This was a prospective single-center observational study among patients who received cardiopulmonary resuscitation. The primary outcomes were the success rate of first attempt and the time taken for vascular access via the internal jugular and peripheral veins. We also measured the diameter of the internal jugular and peripheral veins at the access point and the distance from the access point to the heart. Results: In all, 20 patients were included in the study. Internal jugular and peripheral venous access had a first-attempt success rate of 85% and 65%, respectively ( p = 0.152). The time to access the internal jugular and peripheral veins was 46.4 ± 40.5 s and 28.8 ± 14.7 s, respectively ( p = 0.081). The diameter of the internal jugular and peripheral veins was 10.8 ± 2.6 mm and 2.8 ± 0.8 mm, respectively ( p < 0.001). The distance from the vascular access point to the heart was 20.3 ± 4.7 cm and 48.8 ± 13.1 cm for the internal jugular and peripheral veins, respectively ( p < 0.001). Conclusions: There was a trend toward higher success rates in the internal jugular vein rather than the peripheral intravenous approach, which was not statistically significant. |
| first_indexed | 2024-03-13T10:05:53Z |
| format | Article |
| id | doaj.art-dcc2e88847ac4d359410f933ad1e0767 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-03-13T10:05:53Z |
| publishDate | 2023-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-dcc2e88847ac4d359410f933ad1e07672023-05-22T13:03:58ZengSAGE PublishingSAGE Open Medicine2050-31212023-05-011110.1177/20503121231175318Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adultsHyun Seok Chai0Young-Min Kim1Gwan Jin Park2Sang Chul Kim3Hoon Kim4Seok Woo Lee5Hyeon Jeong Park6Ji Han Lee7Department of Emergency Medicine, Chungbuk National University Hospital, Cheong-ju, Republic of KoreaDepartment of Emergency Medicine, Chungbuk National University Hospital, Cheong-ju, Republic of KoreaDepartment of Emergency Medicine, Chungbuk National University Hospital, Cheong-ju, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Chungbuk National University, Cheong-ju, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Chungbuk National University, Cheong-ju, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Chungbuk National University, Cheong-ju, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Chungbuk National University, Cheong-ju, Republic of KoreaDepartment of Emergency Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaObjectives: Vascular access is an important procedure for drug administration during the resuscitation of a patient with cardiac arrest; however, it can be challenging under emergent conditions. This study aimed to investigate the efficiency of ultrasound-guided internal jugular venous access using a midline catheter versus peripheral intravenous access during cardiopulmonary resuscitation. Methods: This was a prospective single-center observational study among patients who received cardiopulmonary resuscitation. The primary outcomes were the success rate of first attempt and the time taken for vascular access via the internal jugular and peripheral veins. We also measured the diameter of the internal jugular and peripheral veins at the access point and the distance from the access point to the heart. Results: In all, 20 patients were included in the study. Internal jugular and peripheral venous access had a first-attempt success rate of 85% and 65%, respectively ( p = 0.152). The time to access the internal jugular and peripheral veins was 46.4 ± 40.5 s and 28.8 ± 14.7 s, respectively ( p = 0.081). The diameter of the internal jugular and peripheral veins was 10.8 ± 2.6 mm and 2.8 ± 0.8 mm, respectively ( p < 0.001). The distance from the vascular access point to the heart was 20.3 ± 4.7 cm and 48.8 ± 13.1 cm for the internal jugular and peripheral veins, respectively ( p < 0.001). Conclusions: There was a trend toward higher success rates in the internal jugular vein rather than the peripheral intravenous approach, which was not statistically significant.https://doi.org/10.1177/20503121231175318 |
| spellingShingle | Hyun Seok Chai Young-Min Kim Gwan Jin Park Sang Chul Kim Hoon Kim Seok Woo Lee Hyeon Jeong Park Ji Han Lee Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults SAGE Open Medicine |
| title | Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults |
| title_full | Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults |
| title_fullStr | Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults |
| title_full_unstemmed | Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults |
| title_short | Comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults |
| title_sort | comparison between internal jugular vein access using midline catheter and peripheral intravenous access during cardiopulmonary resuscitation in adults |
| url | https://doi.org/10.1177/20503121231175318 |
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