Efficacy of Ultrasound Guided Right Internal Jugular Vein Catheterization in Infants Undergoing Cardiac Surgery

Objective To evaluate the efficacy of ultrasound-guided right internal jugular vein catheterization in infants undergoing cardiac surgery.Methods Forty infants with congenital heart disease(age,4to 24months;body weight,6to 15kg)who were scheduled for elective surgery under the general anesthesia were randomly assigned to receive the right internal jugular vein catheterization using either ultrasound-guided technique(group U,n=20)or traditional surface marker localization(group A,n=20).The success rates of puncture and catheterization at the first attempt,catheterization time(from the start of puncture to the placement of central venous catheter),number of puncture attempts and puncture-related complications were recorded in both groups.Results The success rates of puncture and catheterization at the first attempt in group U were significantly higher than those in group A(100% and 95% vs 75% and 70%,respectively; P0.05).In addition,ultrasound-guided technique significantly decreased catheterization time, puncture number and puncture-related complications compared with traditional surface marker localization(P0.05).Conclusion Ultrasound guidance can increase the success rate of right internal jugular vein catheterization,shorten catheterization time and reduce puncture-related complications.Therefore,ultrasound-guided right internal jugular vein catheterization is effective and safe in infants undergoing cardiac surgery.