Proper Angle of Sono-guided Central Venous Line Insertion; a Brief Report
学术急诊医学档案,
卷 4 编号 3 (2016),
1 八月 2016
,
第 155-158 页
https://doi.org/10.22037/aaem.v4i3.241
摘要
Introduction: Determining the proper angle for inserting central venous catheter (CV line) is of great importance for decreasing the complications and increasing success rate. The present study was designed to determine the proper angle of needle insertion for internal jugular vein catheterization. Methods: In the present case series study, candidate patients for catheterization of the right internal jugular vein under guidance of ultrasonography were studied. At the time of proper placing of the catheter, photograph was taken and Auto Cad 2014 software was used to measure the angles of the needle in the sagittal and axial planes, as well as patient’s head rotation. Result: 114 patients with the mean age of 56.96 ± 14.71 years were evaluated (68.4% male). The most common indications of catheterization were hemodialysis (55.3%) and shock state (24.6%). The mean angles of needle insertion were 102.15 ± 6.80 for axial plane, 36.21 ± 3.12 for sagittal plane and the mean head rotation angle was 40.49 ± 5.09. Conclusion: Based on the results of the present study it seems that CV line insertion under the angles 102.15 ± 6.80 degrees in the axial plane, 36.21 ± 3.12 in the sagittal plane and 40.49 ± 5.09 head rotation yield satisfactory results.- Central venous catheters
- vascular access devices
- ultrasonography
- emergencies
- catheterization
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参考
O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. American journal of infection control. 2011;39(4):S1-S34.
Troianos CA, Hartman GS, Glas KE, Skubas NJ, Eberhardt RT, Walker JD, et al. Guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. Journal of the American Society of Echocardiography. 2011;24(12):1291-318.
Warkentine FH, Pierce MC, Lorenz D, Kim IK. The anatomic relationship of femoral vein to femoral artery in euvolemic pediatric patients by ultrasonography: implications for pediatric femoral central venous access. Academic emergency medicine. 2008;15(5):426-30.
Stone MB, Moon C, Sutijono D, Blaivas M. Needle tip visualization during ultrasound-guided vascular access: short-axis vs long-axis approach. The American journal of emergency medicine. 2010;28(3):343-7.
Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, et al. Real-time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Critical Care. 2006;10(6):R162.
DeAngelis V, Denny J, Chyu D, Jan T, Lemaire A, Chiricolo A, et al. The Optimal Angle of Head Rotation for Internal Jugular Cannulation as Determined by Ultrasound Evaluation. Journal of cardiothoracic and vascular anesthesia. 2015.
Ibrik O, Samon R, Roca R, Viladoms J, Mora J. Tunneled catheters for hemodialysis of the type «twin Tesio catheters system» by ultrasound-guided technique. Retrospective analysis of 210 catheters. NEFROLOGÃA. 2006;26(6).
Roberts JR, Hedges JR. Clinical procedures in emergency medicine: Elsevier Health Sciences; 2009.
Ozbek S, Apiliogullari S, Erol C, Kivrak AS, Kara I, Uysal E, et al. Optimal angle of needle entry for internal jugular vein catheterization with a neutral head position: a CT study. Renal failure. 2013;35(4):492-6.
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