Education, Research and Presentation
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.