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Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts
Objective: The relationship between certain risk factors and carotid artery puncture (CAP) as an early mechanical complication following internal jugular vein cannulation attempts (IJVCAs) was evaluated. Methods: In a retrospective 1-year observational single-center study, 86 IJVCAs conducted in the...
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| Published in: | Medical principles and practice 2011-01, Vol.20 (6), p.562-566 |
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| creator | Jankovic, Radmilo J. Pavlovic, Marija S. Stojanovic, Miodrag M. Stosic, Biljana S. Milic, Dragan J. Ignjatovic, Nebojsa S. Bogicevic, Angelina N. Djordjevic, Dragana R. Savic, Nenad N. |
| description | Objective: The relationship between certain risk factors and carotid artery puncture (CAP) as an early mechanical complication following internal jugular vein cannulation attempts (IJVCAs) was evaluated. Methods: In a retrospective 1-year observational single-center study, 86 IJVCAs conducted in the operating room by 4 competent anesthesiologists were evaluated. Age, gender, puncture side, number of cannulation attempts, circumstances of the procedure and incidence of CAP were obtained from medical records. Results: Of the 86 IJVCAs performed in patients aged 18–75 years, CAP occurred in 8 (9.3%): 5 (5.8%) in patients >65 years and 3 (3.5%) in patients |
| doi_str_mv | 10.1159/000329788 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_21986016</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>897811334</sourcerecordid><originalsourceid>FETCH-LOGICAL-c340t-bd31598d2ed53cec8fcba3573c91d07466a57c1a0576a93678e94481165320e33</originalsourceid><addsrcrecordid>eNo90E1LAzEQBuAgitXqwbtIbuJhNbPZj-xxKbZWCoqo1yVNsjV2m9QkS-m_N9LaUybwzAvzInQF5B4grx4IITStSsaO0BlkKU0I5HAcZwKQlHkJA3Tu_XdkjFJyigYpVKwgUJyh7Zv2SzzmIljnce29FZoHJfFGhy884s4GLXHtgnJb_NobEXqncGu7zm60WeAZN3LF3TKZ9FrGtamJ0vAOP_eLvuMOfyptYo4x8Re0NbgOQa3WwV-gk5Z3Xl3u3yH6GD--j56S2ctkOqpniaAZCclc0ngik6mSORVKsFbMOc1LKiqQpMyKguelAE7ysuAVLUqmqixjAEVOU6IoHaLbXe7a2Z9e-dCstBeq67hRtvcNi8UBUJpFebeTwlnvnWqbtdPxuG0DpPkrujkUHe3NPrWfr5Q8yP9mI7jegSV3C-UOYL__C_HXgf8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>897811334</pqid></control><display><type>article</type><title>Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts</title><source>Open Access: PubMed Central</source><creator>Jankovic, Radmilo J. ; Pavlovic, Marija S. ; Stojanovic, Miodrag M. ; Stosic, Biljana S. ; Milic, Dragan J. ; Ignjatovic, Nebojsa S. ; Bogicevic, Angelina N. ; Djordjevic, Dragana R. ; Savic, Nenad N.</creator><creatorcontrib>Jankovic, Radmilo J. ; Pavlovic, Marija S. ; Stojanovic, Miodrag M. ; Stosic, Biljana S. ; Milic, Dragan J. ; Ignjatovic, Nebojsa S. ; Bogicevic, Angelina N. ; Djordjevic, Dragana R. ; Savic, Nenad N.</creatorcontrib><description>Objective: The relationship between certain risk factors and carotid artery puncture (CAP) as an early mechanical complication following internal jugular vein cannulation attempts (IJVCAs) was evaluated. Methods: In a retrospective 1-year observational single-center study, 86 IJVCAs conducted in the operating room by 4 competent anesthesiologists were evaluated. Age, gender, puncture side, number of cannulation attempts, circumstances of the procedure and incidence of CAP were obtained from medical records. Results: Of the 86 IJVCAs performed in patients aged 18–75 years, CAP occurred in 8 (9.3%): 5 (5.8%) in patients >65 years and 3 (3.5%) in patients <65 years of age. CAP was not associated with patient’s age (p = 0.11) and gender (p = 0.76). Multiple cannulation attempts (OR = 26.25; 95% CI = 4.52–152.51; p < 0.001) and placement of CVC under emergency conditions (OR = 14.84; 95% CI = 1.73–127.22; p = 0.014) increased the risk for CAP significantly. Also, the risk for CAP was higher when IJVCAs were performed before induction of general anesthesia (OR = 15.75; 95% CI = 1.83–135.1; p = 0.019). CAP was more likely to happen during left-sided than right-sided IJVCA (OR = 5.98; 95% CI = 1.29–27.59; p = 0.022). In addition, left-sided attempts considerably increased the risk for multiple cannulation attempts (OR = 2.782; 95% CI = 1.342–3.965; p < 0.01). Also, manifold cannulation attempts were more frequent if the IJVCA was performed before induction of anesthesia (OR = 4.219; CI = 1.579–11.271; p = 0.004). Conclusions: Our results strongly suggest that left-sided, multiple IJVCAs, performed under emergency conditions in conscious patients in the operating room, represent considerable risks for possible CAP.</description><identifier>ISSN: 1011-7571</identifier><identifier>EISSN: 1423-0151</identifier><identifier>DOI: 10.1159/000329788</identifier><identifier>PMID: 21986016</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Adolescent ; Adult ; Aged ; Anesthesia - adverse effects ; Anesthesia - methods ; Carotid Arteries ; Carotid Artery Injuries - etiology ; Catheterization, Central Venous - adverse effects ; Catheterization, Central Venous - instrumentation ; Catheterization, Central Venous - methods ; Confidence Intervals ; Female ; Humans ; Iatrogenic Disease - epidemiology ; Incidence ; Jugular Veins - injuries ; Male ; Middle Aged ; Odds Ratio ; Original Paper ; Retrospective Studies ; Risk ; Risk Factors ; Young Adult</subject><ispartof>Medical principles and practice, 2011-01, Vol.20 (6), p.562-566</ispartof><rights>2011 S. Karger AG, Basel</rights><rights>Copyright © 2011 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-bd31598d2ed53cec8fcba3573c91d07466a57c1a0576a93678e94481165320e33</citedby><cites>FETCH-LOGICAL-c340t-bd31598d2ed53cec8fcba3573c91d07466a57c1a0576a93678e94481165320e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21986016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jankovic, Radmilo J.</creatorcontrib><creatorcontrib>Pavlovic, Marija S.</creatorcontrib><creatorcontrib>Stojanovic, Miodrag M.</creatorcontrib><creatorcontrib>Stosic, Biljana S.</creatorcontrib><creatorcontrib>Milic, Dragan J.</creatorcontrib><creatorcontrib>Ignjatovic, Nebojsa S.</creatorcontrib><creatorcontrib>Bogicevic, Angelina N.</creatorcontrib><creatorcontrib>Djordjevic, Dragana R.</creatorcontrib><creatorcontrib>Savic, Nenad N.</creatorcontrib><title>Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts</title><title>Medical principles and practice</title><addtitle>Med Princ Pract</addtitle><description>Objective: The relationship between certain risk factors and carotid artery puncture (CAP) as an early mechanical complication following internal jugular vein cannulation attempts (IJVCAs) was evaluated. Methods: In a retrospective 1-year observational single-center study, 86 IJVCAs conducted in the operating room by 4 competent anesthesiologists were evaluated. Age, gender, puncture side, number of cannulation attempts, circumstances of the procedure and incidence of CAP were obtained from medical records. Results: Of the 86 IJVCAs performed in patients aged 18–75 years, CAP occurred in 8 (9.3%): 5 (5.8%) in patients >65 years and 3 (3.5%) in patients <65 years of age. CAP was not associated with patient’s age (p = 0.11) and gender (p = 0.76). Multiple cannulation attempts (OR = 26.25; 95% CI = 4.52–152.51; p < 0.001) and placement of CVC under emergency conditions (OR = 14.84; 95% CI = 1.73–127.22; p = 0.014) increased the risk for CAP significantly. Also, the risk for CAP was higher when IJVCAs were performed before induction of general anesthesia (OR = 15.75; 95% CI = 1.83–135.1; p = 0.019). CAP was more likely to happen during left-sided than right-sided IJVCA (OR = 5.98; 95% CI = 1.29–27.59; p = 0.022). In addition, left-sided attempts considerably increased the risk for multiple cannulation attempts (OR = 2.782; 95% CI = 1.342–3.965; p < 0.01). Also, manifold cannulation attempts were more frequent if the IJVCA was performed before induction of anesthesia (OR = 4.219; CI = 1.579–11.271; p = 0.004). Conclusions: Our results strongly suggest that left-sided, multiple IJVCAs, performed under emergency conditions in conscious patients in the operating room, represent considerable risks for possible CAP.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia - methods</subject><subject>Carotid Arteries</subject><subject>Carotid Artery Injuries - etiology</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheterization, Central Venous - methods</subject><subject>Confidence Intervals</subject><subject>Female</subject><subject>Humans</subject><subject>Iatrogenic Disease - epidemiology</subject><subject>Incidence</subject><subject>Jugular Veins - injuries</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Original Paper</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Young Adult</subject><issn>1011-7571</issn><issn>1423-0151</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNo90E1LAzEQBuAgitXqwbtIbuJhNbPZj-xxKbZWCoqo1yVNsjV2m9QkS-m_N9LaUybwzAvzInQF5B4grx4IITStSsaO0BlkKU0I5HAcZwKQlHkJA3Tu_XdkjFJyigYpVKwgUJyh7Zv2SzzmIljnce29FZoHJfFGhy884s4GLXHtgnJb_NobEXqncGu7zm60WeAZN3LF3TKZ9FrGtamJ0vAOP_eLvuMOfyptYo4x8Re0NbgOQa3WwV-gk5Z3Xl3u3yH6GD--j56S2ctkOqpniaAZCclc0ngik6mSORVKsFbMOc1LKiqQpMyKguelAE7ysuAVLUqmqixjAEVOU6IoHaLbXe7a2Z9e-dCstBeq67hRtvcNi8UBUJpFebeTwlnvnWqbtdPxuG0DpPkrujkUHe3NPrWfr5Q8yP9mI7jegSV3C-UOYL__C_HXgf8</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Jankovic, Radmilo J.</creator><creator>Pavlovic, Marija S.</creator><creator>Stojanovic, Miodrag M.</creator><creator>Stosic, Biljana S.</creator><creator>Milic, Dragan J.</creator><creator>Ignjatovic, Nebojsa S.</creator><creator>Bogicevic, Angelina N.</creator><creator>Djordjevic, Dragana R.</creator><creator>Savic, Nenad N.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110101</creationdate><title>Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts</title><author>Jankovic, Radmilo J. ; Pavlovic, Marija S. ; Stojanovic, Miodrag M. ; Stosic, Biljana S. ; Milic, Dragan J. ; Ignjatovic, Nebojsa S. ; Bogicevic, Angelina N. ; Djordjevic, Dragana R. ; Savic, Nenad N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-bd31598d2ed53cec8fcba3573c91d07466a57c1a0576a93678e94481165320e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia - adverse effects</topic><topic>Anesthesia - methods</topic><topic>Carotid Arteries</topic><topic>Carotid Artery Injuries - etiology</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheterization, Central Venous - methods</topic><topic>Confidence Intervals</topic><topic>Female</topic><topic>Humans</topic><topic>Iatrogenic Disease - epidemiology</topic><topic>Incidence</topic><topic>Jugular Veins - injuries</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Original Paper</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jankovic, Radmilo J.</creatorcontrib><creatorcontrib>Pavlovic, Marija S.</creatorcontrib><creatorcontrib>Stojanovic, Miodrag M.</creatorcontrib><creatorcontrib>Stosic, Biljana S.</creatorcontrib><creatorcontrib>Milic, Dragan J.</creatorcontrib><creatorcontrib>Ignjatovic, Nebojsa S.</creatorcontrib><creatorcontrib>Bogicevic, Angelina N.</creatorcontrib><creatorcontrib>Djordjevic, Dragana R.</creatorcontrib><creatorcontrib>Savic, Nenad N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical principles and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jankovic, Radmilo J.</au><au>Pavlovic, Marija S.</au><au>Stojanovic, Miodrag M.</au><au>Stosic, Biljana S.</au><au>Milic, Dragan J.</au><au>Ignjatovic, Nebojsa S.</au><au>Bogicevic, Angelina N.</au><au>Djordjevic, Dragana R.</au><au>Savic, Nenad N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts</atitle><jtitle>Medical principles and practice</jtitle><addtitle>Med Princ Pract</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>20</volume><issue>6</issue><spage>562</spage><epage>566</epage><pages>562-566</pages><issn>1011-7571</issn><eissn>1423-0151</eissn><abstract>Objective: The relationship between certain risk factors and carotid artery puncture (CAP) as an early mechanical complication following internal jugular vein cannulation attempts (IJVCAs) was evaluated. Methods: In a retrospective 1-year observational single-center study, 86 IJVCAs conducted in the operating room by 4 competent anesthesiologists were evaluated. Age, gender, puncture side, number of cannulation attempts, circumstances of the procedure and incidence of CAP were obtained from medical records. Results: Of the 86 IJVCAs performed in patients aged 18–75 years, CAP occurred in 8 (9.3%): 5 (5.8%) in patients >65 years and 3 (3.5%) in patients <65 years of age. CAP was not associated with patient’s age (p = 0.11) and gender (p = 0.76). Multiple cannulation attempts (OR = 26.25; 95% CI = 4.52–152.51; p < 0.001) and placement of CVC under emergency conditions (OR = 14.84; 95% CI = 1.73–127.22; p = 0.014) increased the risk for CAP significantly. Also, the risk for CAP was higher when IJVCAs were performed before induction of general anesthesia (OR = 15.75; 95% CI = 1.83–135.1; p = 0.019). CAP was more likely to happen during left-sided than right-sided IJVCA (OR = 5.98; 95% CI = 1.29–27.59; p = 0.022). In addition, left-sided attempts considerably increased the risk for multiple cannulation attempts (OR = 2.782; 95% CI = 1.342–3.965; p < 0.01). Also, manifold cannulation attempts were more frequent if the IJVCA was performed before induction of anesthesia (OR = 4.219; CI = 1.579–11.271; p = 0.004). Conclusions: Our results strongly suggest that left-sided, multiple IJVCAs, performed under emergency conditions in conscious patients in the operating room, represent considerable risks for possible CAP.</abstract><cop>Basel, Switzerland</cop><pmid>21986016</pmid><doi>10.1159/000329788</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Medical principles and practice, 2011-01, Vol.20 (6), p.562-566 |
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| source | Open Access: PubMed Central |
| subjects | Adolescent Adult Aged Anesthesia - adverse effects Anesthesia - methods Carotid Arteries Carotid Artery Injuries - etiology Catheterization, Central Venous - adverse effects Catheterization, Central Venous - instrumentation Catheterization, Central Venous - methods Confidence Intervals Female Humans Iatrogenic Disease - epidemiology Incidence Jugular Veins - injuries Male Middle Aged Odds Ratio Original Paper Retrospective Studies Risk Risk Factors Young Adult |
| title | Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts |
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