Prospective, randomised, controlled comparison study between ultrasound guided technique with conventional landmark technique of internal jugular vein cannulation

Abstract

Background and Aims: Central venous cannulation is an integral part in management of patients posted for major surgeries. We conducted a prospective, randomised, controlled comparative study to compare conventional landmark technique and ultrasound guided technique for internal jugular vein cannulation. 124 patients were enrolled in the study and were randomized into two groups by computer generated chart into conventional landmark group and the ultrasound group. Outcome measures included the time taken for successful cannulation, number of attempts taken, success/failure rate and the complications.Results: The skin to vein time for IJV cannulation was 109.10 (±69.533) seconds in the conventional group while in the USG group it was 56.40 (±16.799) seconds (p- value <0.0001). The success rate on first attempt was 71% in the conventional group and 95.2% in the USG group (p- value<0.05). Complications were seen in 17.74% in the conventional group and 4.83% of patients in the USG group.