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6. Comparison of central venous catheterization with and without ultrasound guide

Author

Roberto Vaglica, Gerlando Quintini, Massimo Cajozzo, Giuseppina Pezzano, Greco G, Giuseppe Modica, Gerlando Cocchiera, Vincenzo Barbera, CAJOZZO M, QUINTINI G, COCCHIARA G, GRECO G, VAGLICA R, PEZZANO G, BARBERA V, and MODICA G

Subjects
Catheterization, Central Venous, medicine.medical_specialty, Venous catheterization, Group ii, Central venous catheterization, Catheterization, Ultrasound, Humans, Medicine, Seldinger technique, Vein, Retrospective Studies, Ultrasonography, business.industry, Reproducibility of Results, Hematology, equipment and supplies, Surgery, Treatment Outcome, medicine.anatomical_structure, Coagulative necrosis, Jugular Veins, Safety, business
Abstract

Purpose: To compare the effectiveness, safety and time needed to perform central venous catheterization (CVC) in the presence or absence of an ultrasound (US) guide. Methods: Between January 1999 and February 2002 we performed CVCs in 196 patients: 105 patients received US guided CVC (group I) and 91 patients had CVC without US guide (group II). Results: The average time to perform CVC was shorter with US guide (4 vs 7min). The utilization of the US guide was also associated with improved success (98.09% vs 91.2%, p < 0.025) and lack of major complications (0% vs 9.8%, p < 0.001). Conclusions: US-guided CVC affords an easier, safer and more rapid cannulation of a central vein. It is especially helpful in those patients with anatomical variation or difficult veins (small or not visible, non-palpable landmarks) and in those with coagulative disorders.

Published
2004
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