Anlysis on the application of posterior approach in jugular vein catheterization in 386 cases

Objective To discuss and summarize the skills of jugular vein catheterization which treated by posterior approach.Methods The puncture and complications of 386 patients from January 2011 to January 2012 were analyzed retrospectively.And the main points of puncture were summarized.Results Complications occurred in 15 cases(3.9%).Five cases were mistakenly punctured(1.3%).Five cases failed on jugular vein catheterization(1.3%).Two cases were pneumohemothorax(0.5%).One cases was arrhythmia(0.26%) and 2 cases were bleeding(0.5%) during puncture.Postoperative complication occurred in 13 cases(3.4%).While 5 cases(1.3%) of them caused by catheter infection and 2 cases(0.5%) caused by exudate around the catheter.Catheter blockade and local hematoma occurred respectively in 4 cases(1.0%) and 2 cases(0.5%).Conclusion Preoperative localization is critically important for posterior approach in jugular vein catheterization,and intra-and postoperative complications can be reduced by standard operating.