Internal jugular access using pocket ultrasound in a simulated model: comparison between biplane and monoplane visualization techniques

The Ultrasound Journal

Original Article

Jair Antonio Ruiz Garzón¹  Laura B. Piñeros-Hernandez¹  Yury Forlan Bustos Martínez¹  Gloria Catalina Zuluaga López² 

[1] Advanced Center for Clinical Simulation and Technological Innovation, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia;Universidad del Rosario, Bogotá, Colombia;

关键词: Vascular access;    Point of care ultrasound;    Biplane;    Catheterization complication;    Simulation;   

DOI  :  10.1186/s13089-023-00335-4

 received in 2023-06-07, accepted in 2023-08-15,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionUltrasound is the current standard for central venous access due to its advantages in efficiency and safety. In-plane and out-of-plane visualization techniques are commonly used, but there is no clear evidence showing an advantage of one technique over the other. The objective of this study was to compare the success and time required for biplane visualization vs. in-plane and out-of-plane techniques in simulated models.MethodologyTen emergency medicine specialists participated in 60 simulated events, with randomization of the visualization technique for each event. Each event required intravenous cannulation of a simulated model for jugular venous access, with a maximum of three attempts allowed. The number of attempts required for each event, success of puncture and venous cannulation, frequency of redirection and puncture of the posterior wall, time required to obtain an optimal window, visualize the needle inside the vessel, and passage of the guidewire were recorded. The success ratios and times required for each visualization technique (biplane, in-plane, and out-of-plane) were compared.ResultsCannulation success rate was 100% for all three techniques. Success on the first attempt was 95% for biplane visualization vs. 100% for in-plane and out-of-plane. The median total time for the procedure was higher for biplane visualization (29.9 s) compared to in-plane (25.2 s) and out-of-plane (29 s), but this difference was not statistically significant (p = 0.999). There were no significant differences in cannulation success, needle redirection, or posterior wall puncture frequency between biplane visualization and in-plane and out-of-plane techniques.ConclusionsThis study suggests that biplane visualization with the use of pocket ultrasound for internal jugular cannulation in simulated models did not demonstrate significant differences when compared with in-plane and out-of-plane visualization techniques. Further research with larger sample sizes may be needed to confirm these results.

【 授权许可】

CC BY   
© World Interactive Network Focused on Critical UltraSound (WINFOCUS), Milano 2023

【 图 表 】

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