Ultrasound-guided internal jugular vein catheterization and infection rate

OBJECTIVE To analyze the application of ultrasound imaging positioning-guided internal jugular vein catheterization and the infection rate after the catheterization.METHODS A total of 360 patients who intended the internal jugular vein catheterization were randomly divided into the ultrasound group(using ultrasonic positioning to guide surgery and catheterization,under the guidance of ultrasound imaging in real time) and the control group(using conventional straight look punctures for catheterization).RESULTS The ultrasound group had a high success rate of one time puncture.The puncture time in the ultrasound group was significantly shorter than that in the control group,and the incidence of postoperative infections was significantly lower than that of the control group;the number of the patients with positive secretions cultured at the exit of long-time indwelling jugular vein catheters were as follows:7(3.9%)cases of catheterization infections in the ultrasound group,20(11.1%)cases of catheterization infections in the control group,the difference between the two groups was statistically significant(P0.01).CONCLUSION Simple and safe is the ultrasound imaging positioning-guided puncture for the internal jugular vein catheterization,and it has a high success rate of one time puncture with less concurrent infections,and it can extend the use of internal jugular vein catheter,reduce the use of antibiotics and shorten the duration of the puncture,therefore,it has important clinical practical value,especially for those patients who face the puncture difficulties.