Application of ultrasound-guided internal jugular vein access and catheterization

Objective To investigate the outcomes of ultrasound-guided internal jugular vein access and catheterization.Methods Eighty surgical patients undergoing central venous catheter placement were randomly assigned to two groups of U(ultrasound-guided internal jugular vein access and catheterization,45 cases) and C(classical anatomic landmark technique,35 cases).The time spent for puncture,success rate and incidence of complications were compared between two groups.ResultsThe time spent for puncture was shorter in group U than that in group C[(180±150) s vs.(540±210) s](P0.05).The success rate was higher in group U than that in group C(93.3% vs.88.5%)(P0.05).No any complication was seen in group U.Subcutaneous hemotoma secondary to incidental arterial puncture occurred in four cases in group C.Conclusion The outcomes of ultrasound-guided internal jugular vein access and catheterization are better than the classical anatomic landmark technique.