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Internal jugular vein cannulation - comparison of central approach (palpation method) and posterior approach (non-palpation method): A-766

MohanChandralekha, V.; Darlong, V.; Kashyap, L.

European Journal of Anaesthesiology: May 2005 - Volume 22 - Issue - p 197–198
Education, Research and Presentation

Department of Anaesthesiology & Intensive Care, All India Institute of Medical Sciences, New Delhi, India

Background and Goal of Study: To compare the two approaches for internal jugular vein cannulation in patients undergoing renal transplant.

Materials and Methods: Sixty Hundred patients scheduled for kidney transplant were included in this study. Internal jugular vein cannulation was performed either by central approach or posterior approach. Number of attempts, cannulation time and incidence of complications were recorded.

Results and Discussions: Successful cannulation with few attempts was more in posterior approach (93.8%) than in conventional central approach (87.5%) and cannulation procedure time was also shorter in posterior approach (413.87 ± 88.02) than central approach (319.62 ± 69.58). Incidence of complications e.g. arterial puncture were less in posterior approach (7/80) compared to central approach (18/80).

Conclusion(s): Internal jugular vein cannulation by posterior approach (non-palpation method) is superior to central approach (palpation method) in terms of number of attempts, speed of cannulation and risk of arterial puncture.

© 2005 European Society of Anaesthesiology