超声引导颈内静脉置管的新型前后短轴平面内技术与传统短轴平面外技术的比较:一项随机对照试验。

IF 1.1 Q3 EMERGENCY MEDICINE

Turkish Journal of Emergency Medicine Pub Date : 2023-01-01 DOI:10.4103/2452-2473.366485

Karma Ongmu Bhutia, Ankur Sharma, Shilpa Goyal, Nikhil Kothari, Kamlesh Kumari, Akhil Dhanesh Goel, Priyanka Sethi, Pradeep Bhatia

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引用次数: 0

摘要

目的:文献中描述了各种超声(US)引导的探针定位和针的方法，用于颈内静脉插管(IJV)。在本研究中，我们比较了传统的短轴平面外(SAX-OOP)方法和一种新型的正反位短轴平面内(APSAX-IP)技术在US引导下进行jv插管。APSAX-IP方法的IJV插管尚未与其他IJV插管技术进行比较。方法:将104例18岁以上的患者随机分为APSAX-IP组或SAX-OOP组，分别在手术室或重症监护病房评估美国引导下的IJV插管情况。本研究的主要结果是使用两种方法进行IJV插管的准入时间。次要观察结果为插针次数、成功率和IJV插管并发症。结果:APSAX-IP组插管时间为13.0 (12.0 ~ 15.0)sec, SAX-OOP组插管时间为13.0 (12.0 ~ 14.0)sec;P = 0.947。APSAX-IP组的第一次尝试成功率为90.91%，第二次尝试成功率为9.09%，SAX-OOP组的第一次尝试成功率为85.19%，第二次尝试成功率为14.81%。两种技术均无并发症。结论:我们得出结论，美国引导的APSAX-IP IJV插管方法与SAX-OOP技术具有相当的访问时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Comparison of novel anteroposterior short-axis in-plane technique with conventional short-axis out-of-plane technique for ultrasound-guided internal jugular vein cannulation: A randomized-controlled trial.

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Objectives: Various ultrasound (US)-guided probe positioning and needle procedures have been described in the literature for cannulation of the internal jugular vein (IJV). In the present study, we compared the conventional short-axis out-of-plane (SAX-OOP) method with a novel anteroposterior short-axis in-plane (APSAX-IP) technique for IJV cannulation under US guidance. The APSAX-IP method of IJV cannulation has not been compared to other IJV cannulation techniques.

Methods: A total of 104 patients above 18-year-old were randomly allocated to one of two groups - APSAX-IP or SAX-OOP and evaluated for US-guided IJV cannulation in either the operating room or critical care unit. The primary outcome of this research was the access time for IJV cannulation using both approaches. The secondary outcomes were the number of attempts of needle insertion, success rate, and complications of IJV cannulation.

Results: The access time for IJV cannulation was 13.0 (12.0-15.0) sec in the APSAX-IP group and 13.0 (12.0-14.0) sec in the SAX-OOP group; P = 0.947. The number of successful 1^st attempts was 90.91%, and the 2^nd attempts were 9.09% in the APSAX-IP group and 85.19% and 14.81% in the SAX-OOP group, respectively. Both techniques did not have any complications.

Conclusions: We conclude that the US-guided APSAX-IP IJV cannulation method has comparable access time to the SAX-OOP technique.

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来源期刊

Turkish Journal of Emergency Medicine EMERGENCY MEDICINE-

CiteScore

1.70

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： The Turkish Journal of Emergency Medicine (Turk J Emerg Med) is an International, peer-reviewed, open-access journal that publishes clinical and experimental trials, case reports, invited reviews, case images, letters to the Editor, and interesting research conducted in all fields of Emergency Medicine. The Journal is the official scientific publication of the Emergency Medicine Association of Turkey (EMAT) and is printed four times a year, in January, April, July and October. The language of the journal is English. The Journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. The authors are responsible for the scientific content of the material to be published. The Turkish Journal of Emergency Medicine reserves the right to request any research materials on which the paper is based. The Editorial Board of the Turkish Journal of Emergency Medicine and the Publisher adheres to the principles of the International Council of Medical Journal Editors, the World Association of Medical Editors, the Council of Science Editors, the Committee on Publication Ethics, the US National Library of Medicine, the US Office of Research Integrity, the European Association of Science Editors, and the International Society of Managing and Technical Editors.