title: The three-step method for ultrasound-guided pediatric internal jugular venous catheterization: a clinical trial.
abstract: Ultrasound guidance may be a valuable adjunct for pediatric internal jugular vein catheterization. We previously reported a long-axis in plane technique, called the "three-step method", resulting in high success and a low complication rate by novice operators in adult patients. This is the first report of ultrasound-guided internal jugular vein catheterization (US-IJV) using the three-step method in pediatric patients. Fourteen junior residents underwent simulation training, and then participated in a clinical trial. They performed US-IJV in 14 pediatric patients with congenital heart disease before undergoing cardiac surgery under supervision of an experienced clinician. The overall success rate was 93 %, and all catheterizations were performed within two venipunctures. There were no complications associated with the procedure. The three-step method may facilitate pediatric US-IJV even by a novice operator during their first experience.
authors: Department of Anesthesia, Okinawa Prefectural Miyako Hospital, 427-1, Hirara Shimozato, Miyakojima, Okinawa, 906-0013, Japan, rover2727@yahoo.co.jp.
authors: Takahiro
authors: T
authors: Tadokoro
authors: Joho
authors: J
authors: Tokumine
authors: Alan T
authors: AT
authors: Lefor
authors: Tetsuya
authors: T
authors: Kawabata
authors: Kouji
authors: K
authors: Yoza
authors: Tsukasa
authors: T
authors: Kinjo
mesh_terms: D000768:Anesthesia, General; D006348:Cardiac Surgical Procedures / Q000379:methods; D002406:Catheterization, Peripheral / Q000379:methods*; D002675:Child, Preschool; D002983:Clinical Competence; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008297:Male; D008348:Manikins; D018084:Ultrasonography, Interventional / Q000379:methods*