“A Comparison of Internal Jugular Vein Cannulation Versus Supraclavicular Brachiocephalic Vein Cannulation Using Ultrasound Guidance”

Abstract

Patients in intensive care often have central venous catheters (CVCs) placed. The use of ultrasonography to aid with CVC insertion has improved the success rate and decreased the risk of complications. This study compared ultrasonically guided cannulation of the internal jugular vein (OOP-IJV) and the supraclavicular subclavian vein (IP-SSCV) in adult intensive care unit (ICU) patients for purposes of efficacy and safety. Researchers conducted a prospective randomized clinical investigation in an adult medical-surgical critical care unit. Patients in need of a first CVC insertion were split into two groups based on whether they would pay for their care themselves (OOP-IJV) or have it covered by insurance (IP-SSCV). There was an analysis of things like success rates, durations of procedures, needle re-directions, difficulties inserting guidewires, and complication rates. The IP-SSCV group had a higher proportion of first-attempt success (83.2% vs. 63.2%) and a shorter mean insertion time (43.98 vs. 53.12 seconds). When compared to the control group, those who received IP-SSCV had less complications such as guidewire progression problems, needle re-directions, and puncture site hematomas. The frequency of adverse events did not differ significantly across the research groups. Higher first-attempt success rates and fewer procedural complications were seen with ultrasound-guided IP-SSCV cannulation in adult ICU patients compared to OOP-IJV cannulation. When compared to central venous catheterization, IP-SSCV cannulation is a less invasive and perhaps less risky procedure for patients.