Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach
Objective. Echogenic technology has recently enhanced the ability of cannulas to be visualized during ultrasound-guided vascular access. We studied whether the use of an EC could improve visualization if compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided internal...
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| Language: | English |
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Wiley
2012-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/306182 |
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| author | Konstantinos Stefanidis Nicos Pentilas Stavros Dimopoulos Serafim Nanas Richard H. Savel Ariel L. Shiloh John Poularas Michel Slama Dimitrios Karakitsos |
| author_facet | Konstantinos Stefanidis Nicos Pentilas Stavros Dimopoulos Serafim Nanas Richard H. Savel Ariel L. Shiloh John Poularas Michel Slama Dimitrios Karakitsos |
| author_sort | Konstantinos Stefanidis |
| collection | DOAJ |
| description | Objective. Echogenic technology has recently enhanced the ability of cannulas to be visualized during ultrasound-guided vascular access. We studied whether the use of an EC could improve visualization if compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided internal jugular vein (IJV) cannulation in the intensive care unit (ICU).
Material and Methods. We prospectively enrolled 80 mechanically ventilated patients who required central venous access in a randomized study that was conducted in two medical-surgical ICUs. Forty patients underwent EC and 40 patients were randomized to NEC. The procedure was ultrasound-guided IJV cannulation via a transverse approach. Results. The EC group exhibited increased visibility as compared to the NEC group (88% ± 8% versus 20% ± 15%, resp. P<0.01). There was strong agreement between the procedure operators and independent observers (k=0.9; 95% confidence intervals assessed by bootstrap analysis = 0.87–0.95; P<0.01). Access time (5.2 s ± 2.5 versus 10.6 s ± 5.7) and mechanical complications were both decreased in the EC group compared to the NEC group (P<0.05). Conclusion. Echogenic technology significantly improved cannula visibility and decreased access time and mechanical complications during real-time ultrasound-guided IJV cannulation via a transverse approach. |
| format | Article |
| id | doaj-art-d01e5ceb741d47e5a52b8b6157b57006 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-d01e5ceb741d47e5a52b8b6157b570062025-02-03T06:06:00ZengWileyCritical Care Research and Practice2090-13052090-13132012-01-01201210.1155/2012/306182306182Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse ApproachKonstantinos Stefanidis0Nicos Pentilas1Stavros Dimopoulos2Serafim Nanas3Richard H. Savel4Ariel L. Shiloh5John Poularas6Michel Slama7Dimitrios Karakitsos8Radiology Department, Evangelismos University Hospital, Athens, GreeceIntensive Care Unit, General State Hospital of Athens, Athens, Greece1st Critical Care Department, Evangelismos University Hospital, Athens, Greece1st Critical Care Department, Evangelismos University Hospital, Athens, GreeceJay B. Langner Critical Care Service, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, NY, USAJay B. Langner Critical Care Service, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, NY, USAIntensive Care Unit, General State Hospital of Athens, Athens, GreeceIntensive Care Unit, CHU Sud, 80054 Amiens Cedex 1, France, FranceIntensive Care Unit, General State Hospital of Athens, Athens, GreeceObjective. Echogenic technology has recently enhanced the ability of cannulas to be visualized during ultrasound-guided vascular access. We studied whether the use of an EC could improve visualization if compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided internal jugular vein (IJV) cannulation in the intensive care unit (ICU). Material and Methods. We prospectively enrolled 80 mechanically ventilated patients who required central venous access in a randomized study that was conducted in two medical-surgical ICUs. Forty patients underwent EC and 40 patients were randomized to NEC. The procedure was ultrasound-guided IJV cannulation via a transverse approach. Results. The EC group exhibited increased visibility as compared to the NEC group (88% ± 8% versus 20% ± 15%, resp. P<0.01). There was strong agreement between the procedure operators and independent observers (k=0.9; 95% confidence intervals assessed by bootstrap analysis = 0.87–0.95; P<0.01). Access time (5.2 s ± 2.5 versus 10.6 s ± 5.7) and mechanical complications were both decreased in the EC group compared to the NEC group (P<0.05). Conclusion. Echogenic technology significantly improved cannula visibility and decreased access time and mechanical complications during real-time ultrasound-guided IJV cannulation via a transverse approach.http://dx.doi.org/10.1155/2012/306182 |
| spellingShingle | Konstantinos Stefanidis Nicos Pentilas Stavros Dimopoulos Serafim Nanas Richard H. Savel Ariel L. Shiloh John Poularas Michel Slama Dimitrios Karakitsos Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach Critical Care Research and Practice |
| title | Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach |
| title_full | Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach |
| title_fullStr | Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach |
| title_full_unstemmed | Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach |
| title_short | Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach |
| title_sort | echogenic technology improves cannula visibility during ultrasound guided internal jugular vein catheterization via a transverse approach |
| url | http://dx.doi.org/10.1155/2012/306182 |
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