0 117

Cited 0 times in

Simulated internal jugular vein cannulation using a needle-guiding device

Authors
 Ji Hoon Kim  ;  Jin Ha Park  ;  Junho Cho  ;  Tae Young Kong  ;  Ji Hwan Lee  ;  Jin Ho Beom  ;  Young Seon Joo  ;  Dong Ryul Ko  ;  Hyun Soo Chung 
Citation
 American Journal of Emergency Medicine, Vol.36(11) : 1931-1939, 2018 
Journal Title
 American Journal of Emergency Medicine 
ISSN
 0735-6757 
Issue Date
2018
Keywords
Cannulation ; Device ; Internal jugular vein ; Ultrasound
Abstract
BACKGROUND: Using a two-dimensional ultrasound-guided approach does not guarantee success during the first attempt at internal jugular vein cannulation. Our randomized, parallel simulation study examined whether a new disposable device could improve the success rate of the first attempt at ultrasound-guided internal jugular vein cannulation of a simulated internal jugular vein. METHODS: Eighty-eight participants were randomized to perform needle insertion for internal jugular vein cannulation of a phantom using the ultrasound-guided approach with (case group) or without (control group) this new device. The primary outcome was the success rate of the first attempt. The secondary outcome was the frequency of mechanical complications such as arterial puncture and posterior wall puncture, procedure time, and level of difficulty. RESULTS: Among 44 participants using the device, 33 (75.0%) achieved successful cannulation on the first attempt. However, only 12 (27.3%) of the 44 participants not using the device recorded success during the first attempt (risk difference, 0.477; 95% confidence interval [CI] 0.294-0.661; P<0.001). The number of attempts was significantly lower (risk difference, -3.955; 95% CI, -5.014 to -3.712; P<0.001) when participants performed cannulation with the device (1.63±1.71) than without the device (5.59±5.78). Our study also showed that participants were comfortable when performing the ultrasound-guided approach with the new device (risk difference, -1.955; 95% CI, -2.016 to -1.493; P<0.0001). CONCLUSIONS: The new disposable device was effective for successful first attempts at needle insertion during ultrasound-guided internal jugular vein cannulation. Future clinical trials are needed to assess the effectiveness of this device.
Full Text
https://www.sciencedirect.com/science/article/pii/S0735675718301323
DOI
10.1016/j.ajem.2018.02.012
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
고동률(Ko, Dong Ryul) ORCID logo https://orcid.org/0000-0002-3098-2784
공태영(Kong, Tae Young) ORCID logo https://orcid.org/0000-0002-4182-7245
김지훈(Kim, Ji Hoon) ORCID logo https://orcid.org/0000-0002-0070-9568
박진하(Park, Jin Ha) ORCID logo https://orcid.org/0000-0002-1398-3304
범진호(Beom, Jin Ho) ORCID logo https://orcid.org/0000-0002-2805-257X
정현수(Chung, Hyun Soo) ORCID logo https://orcid.org/0000-0001-6110-1495
조준호(Cho, Junho) ORCID logo https://orcid.org/0000-0003-2240-3989
주영선(Joo, Young Seon)
Export
RIS (EndNote)
XLS (Excel)
XML
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165008
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse