[Current state of central venous catheterization in the operating theater in Japan].
Central venous catheterization is usually done in operating theater after general anesthesia. However, life-threatening complications can occasionally occur. Recently, application of ultrasound especially ultrasound-guided venipuncture has become popular for safe and reliable procedure. We investigated the current state of central venous catheterization by a questionnaire survey. 131 anesthesiologists answered the survey. The most common site for cathererization was internal jugular vein (85%). 97% of anesthesiologists use Seldinger's technique. Before internal jugular vein cathererization, 47% of anesthesiologists commonly and 19% of anethesiologists occasionally use ultrasound for checking the vein. Ultrasound-guided venipuncture was performed commonly by 19% and occasionally by 59% of anesthesiologists. The most common ultrasound device was iLook (37% of anesthesiologists, Japan Sherwood). The survey showed that 79% of anesthesiologists apply ultrasound for central venous catheterization in the operating theater. Establishing the standard technique and training methods will be the subsequent issue.
Morimoto
Yasuhiro
Y
Department of Anesthesiology, Ube Industries Central Hospital, Ube 755-0151.
Yoshikawa
Chie
C
D000768:Anesthesia, General; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D007601:Jugular Veins; D009873:Operating Rooms; D011795:Surveys and Questionnaires; D014463:Ultrasonography / Q000295:instrumentation