目的:我们研究的目的是比较成功率,持续时间,通过使用三种不同的技术,右颈内静脉(IJV)插管并发症的发生率。
方法:在三级护理教学医院进行了一项随机对照试验。总共201名患者被随机分配到以下三组之一(每组67名)。技术被归类为解剖标志技术组(ALT组),超声引导预定位组(USG-Pre组),实时超声引导技术组(USG-RT组)。
方法:通过三种技术插入中心静脉导管。
结果:在138名(73.01%)IJV患者中,USG-RT,USG-Pre,ALT为51(83.6%),44(72.1%),和43(64.2%),分别。另一方面,第二次尝试需要37例(19.57%)患者,而在第三次尝试中,只有14例(7.40%)患者需要成功的IJV插管。成功率,正如我们研究中所定义的那样,只有138人(73%),51(27%),我们不止一次尝试插管或改用另一种技术。我们发现所有技术的准备时间均存在显着差异,P值<0.05,但静脉通路时间没有显着差异。插管时间,和程序的持续时间。
结论:任何技术都可以用于IJV插管,但最可接受的是实时美国技术。然而,所有三种技术的整体手术时间没有差异,未发现主要并发症。
OBJECTIVE: The objective of our study is to compare the success rate, duration, and incidence of complications of a right internal jugular vein (IJV) cannulation by using three different techniques.
METHODS: A randomised controlled trial was conducted at a tertiary care teaching hospital. A total of 201 patients were randomly allocated to one of the following three groups (67 in each group). Techniques were categorised as anatomical landmark technique group (Group ALT), ultrasound guided pre-location group (Group USG-Pre), and real-time ultrasound-guided technique group (Group USG-RT).
METHODS: Central venous catheter insertion via three techniques.
RESULTS: In 138 (73.01%) patients\' IJV canulated in the first attempt, USG-RT, USG-Pre, and ALT were 51 (83.6%), 44 (72.1%), and 43 (64.2%), respectively. On the other hand, 37 (19.57%) patients were required in the second attempt, while only 14 (7.40%) patients were required in the third attempt for successful IJV cannulation. The success rates, as defined in our study, were only 138 (73%) as, in 51 (27%), we cannulated in more than a single attempt or switched to another technique. We found a significant difference in preparation time in all techniques as P-value <0.05, but no significant difference was found in venous access time, cannulation time, and duration of the procedure.
CONCLUSIONS: Any technique can be used for IJV cannulation, but the most acceptable is the real-time US technique. However, no difference in the overall procedure time among all three techniques was noted, and no major incidence of complication was found.