Echogenic Technology Improves Cannula Visibility during Ultrasound-Guided Internal Jugular Vein Catheterization via a Transverse Approach

Objective. Echogenic technology has recently enhanced the ability of cannulas to be visualized during ultrasound-guided vascular access. We studied whether the use of an EC could improve visualization if compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided internal...

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Published in:Critical Care Research and Practice 2012-01, Vol.2012 (2012), p.167-171
Main Authors: Slama, Michel, Poularas, John, Shiloh, Ariel L., Savel, Richard H., Nanas, Serafim, Dimopoulos, Stavros, Pentilas, Nicos, Stefanidis, Konstantinos, Karakitsos, Dimitrios, Khim, J.
Format: Article
Language:English
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Summary:Objective. Echogenic technology has recently enhanced the ability of cannulas to be visualized during ultrasound-guided vascular access. We studied whether the use of an EC could improve visualization if compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided internal jugular vein (IJV) cannulation in the intensive care unit (ICU). Material and Methods. We prospectively enrolled 80 mechanically ventilated patients who required central venous access in a randomized study that was conducted in two medical-surgical ICUs. Forty patients underwent EC and 40 patients were randomized to NEC. The procedure was ultrasound-guided IJV cannulation via a transverse approach. Results. The EC group exhibited increased visibility as compared to the NEC group (88%  ± 8% versus 20%  ± 15%, resp. P
ISSN:2090-1305
2090-1313
DOI:10.1155/2012/306182