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E Poster discussion: Circulation

Abstract PR041: Comparison of the Arterial and Central Venous Cannulation in Palpation and Ultrasound-Guided Techniques

Tirnava, A.1; Bakal, O.1; Yedekci, A. E.1; Inangil, G.1; Deniz, S.1; Ozkan, S.1,*; Sen, H.1

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doi: 10.1213/01.ane.0000492451.93664.11
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Background & Objectives: The aim of our study is to identify first attempt success rate of palpation method and ultrasound guided method for cannulation of both internal juguler vein and radial artery in patients undergoing cardiovascular surgery and to compare practicallity and complications.

Materials & Methods: This single-center, retrospective clinical study was designed. 172 Patients aged 18–75 years with both sexes undergoing elective cardiac surgery with ASA II-III status were included. All patients were given informed written consent patients data were collected before and after radial artery and juguler vein cannulation.

Results: There were no significant differences in demographic characteristics between the groups. First attempt radial artery and internal juguler venous cannulation rate was significantly higher in ultrasound group when compared to palpation method. Cannulation time was shorter and complication rates were significantly lower in usg group.

Conclusion: In this study, our findings suggest that the number of attempts were lower with real-time ultrasounography guided internal jugular vein and the radial artery cannulation and reduced the procedure time and increased safety.

References:

1. Berk D, Gurkan Y, Kus A, Ulugol H, Solak M, Toker K. Ultrasound-guided radial arterial cannulation: long axis/inplane versus short axis/out-of-plane approaches? J Clin Monit Comput. 2013;27:319–24

2. Quan Z, Tian M, Chi P, Cao Y, Li X, Peng K. Modified short-axis out-of-plane ultrasound versus conventional long-axis in-plane ultrasound to guide radial artery cannulation: a randomized controlled trial. Anesth Analg. 2014 Jul;119(1):163–9.

Disclosure of Interest: None declared

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