Time-consumption risk of real-time ultrasound-guided internal jugular vein cannulation in pediatric patients: comparison with two conventional techniques.
To assess the efficacy of three different methods for internal jugular vein (IJV) cannulation in pediatric patients, we conducted a review of patients undergoing cardiovascular surgery over an 11-year period, in which success rates for cannulation and time from induction of anesthesia to cannulation were evaluated. The success rate was better for real-time ultrasound guidance (USG: 90%) than for anatomic landmarks (AL: 76%) or audio-Doppler guidance (ADG: 74%) and the time required was greater for USG (35.0 +/- 13.6 min) than for AL (26.7 +/- 11.2 min) or ADG (29.2 +/- 8.9 min). However, USG resulted in a higher success rate than the other methods with comparable procedure time for smaller-body-weight (<5 kg) patients. Thus real-time USG leads to the highest success rate for IJV cannulation but with a significant time delay, whereas it was the most useful without time delay for the smaller-body-weight subgroup.
Yoshida
Hitoshi
H
Department of Anesthesiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan. hyoshida@cc.hirosaki-u.ac.jp
Kushikata
Tetsuya
T
Kitayama
Masatou
M
Hashimoto
Hiroshi
H
Kimura
Futoshi
F
Niwa
Hidetomo
H
Ishihara
Hironori
H
Hirota
Kazuyoshi
K
D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods*; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D012306:Risk; D013997:Time Factors; D014463:Ultrasonography
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