Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU

Su Qing; Guo Xiaoxia; Lv Weitao; Huang Guohua

doi:doi:10.11648/j.ajim.20190705.15

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Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU

Su Qing, Guo Xiaoxia, Lv Weitao, Huang Guohua

Published in American Journal of Internal Medicine (Volume 7, Issue 5)

Received: 9 September 2019 Accepted: 4 October 2019 Published: 15 October 2019

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Abstract

The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.

Published in	American Journal of Internal Medicine (Volume 7, Issue 5)
DOI	10.11648/j.ajim.20190705.15
Page(s)	132-135
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

B-ultrasound Guidance, Iindwelling Needle of External Jugular Vein, Puncture, Patient in General ICU, Advantage

References

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[2]	Adhikari, S., Schmier, C., & Marx, J. (2015). Focused simulation training: emergency department nurses’ confidence and comfort level in performing ultrasound-guided vascular access. The Journal of Vascular Access, 16 (6), 515-520.
[3]	Morgan, R. A., Walser, E. M., & Patel, U. (1996). Ultrasound-guided catheterisation of the internal jugular vein. European Journal of Ultrasound, 3 (3), 1155-1156. G.
[4]	Buzançais, Roger, C., Bastide, S., Jeannes, P., & Muller, L. (2016). Comparison of two ultrasound guided approaches for axillary vein catheterization: a randomized controlled non-inferiority trial. BJA British Journal of Anaesthesia, 116 (2), 215-222.
[5]	Mccarthy, M. L., Shokoohi, H., Boniface, K. S., Eggelton, R., & Zeger, S. L. (2015). Ultrasonography versus landmark for peripheral intravenous cannulation: a randomized controlled trial. Annals of emergency medicine, 68 (1), 10-18.
[6]	Duran-Gehring, P., Bryant, L., Reynolds, J. A., Aldridge, P., Kalynych, C. J., & Guirgis, F. W. (2016). Ultrasound-guided peripheral intravenous catheter training results in physician-level success for emergency department technicians. Journal of Ultrasound in Medicine, 35 (11): 2343–52.
[7]	Bridey Céline, Nathalie, T., Thomas, L., Adeline, M. R., Maxime, M., & Bruno, L., et al. (2018). Ultrasound-guided versus landmark approach for peripheral intravenous access by critical care nurses: a randomised controlled study. BMJ Open, 8 (6), e020220.
[8]	Kasatkin, A. A., Urakov, A. L., & Nigmatullina, A. R. (2017). Using ultrasonography to determine optimal head-down tilt position angle in patients before catheterization of the internal jugular vein. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 21 (3), 160-162.
[9]	Kitagawa, N., Oda, M., Totoki, T., Miyazaki, N., Nagasawa, I., & Nakazono, T., et al. (2004). Proper shoulder position for subclavian venipuncture: a prospective randomized clinical trial and anatomical perspectives using multislice computed tomography. Anesthesiology, 101 (6), 1306-12.
[10]	Ghatak, T., Singh, R. K, & Baronia, A. K. (2016). Comparison between marked versus unmarked introducer needle in real-time ultrasound-guided central vein cannulation: a prospective randomized study. Annals of Cardiac Anaesthesia, 19 (4), 621-625.
[11]	Lim, T., Ryu, H. G., Jung, C. W., Jeon, Y., & Bahk, J. H. (2012). Effect of the bevel direction of puncture needle on success rate and complications during internal jugular vein catheterization. Critical Care Medicine, 40 (2), 491.
[12]	Povoski, S. P. (2004). External jugular vein cutdown approach for chronic indwelling central venous access in cancer patients: a potentially useful alternative. World Journal of Surgical Oncology, 2 (1), 7.
[13]	Jing, W., Rong, H., Li, J., Xia, Z. H., Yu, Z. H., & Ke, Z. (2016). The power peripherally inserted central catheter is superior to a central venous catheter in management of patients with esophageal variceal bleeding undergoing devascularization. Jpma the Journal of the Pakistan Medical Association, 66 (Suppl 3) (10), S59.
[14]	Butterfield, M., Abdelghani, R., Mohamad, M., Limsuwat, C., & Kheir, F. (2015). Using ultrasound-guided peripheral catheterization of the internal jugular vein in patients with difficult peripheral access. American Journal of Therapeutics, 43 (12 Suppl 1).
[15]	Costantino, T. G., Kirtz, J. F., & Satz, W. A. (2010). Ultrasound-guided peripheral venous access vs. the external jugular vein as the initial approach to the patient with difficult vascular access. Journal of Emergency Medicine, 39 (4), 0-467.
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APA Style

Su Qing, Guo Xiaoxia, Lv Weitao, Huang Guohua. (2019). Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. American Journal of Internal Medicine, 7(5), 132-135. https://doi.org/10.11648/j.ajim.20190705.15

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ACS Style

Su Qing; Guo Xiaoxia; Lv Weitao; Huang Guohua. Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. Am. J. Intern. Med. 2019, 7(5), 132-135. doi: 10.11648/j.ajim.20190705.15

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AMA Style

Su Qing, Guo Xiaoxia, Lv Weitao, Huang Guohua. Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. Am J Intern Med. 2019;7(5):132-135. doi: 10.11648/j.ajim.20190705.15

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@article{10.11648/j.ajim.20190705.15,
  author = {Su Qing and Guo Xiaoxia and Lv Weitao and Huang Guohua},
  title = {Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU},
  journal = {American Journal of Internal Medicine},
  volume = {7},
  number = {5},
  pages = {132-135},
  doi = {10.11648/j.ajim.20190705.15},
  url = {https://doi.org/10.11648/j.ajim.20190705.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20190705.15},
  abstract = {The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.},
 year = {2019}
}

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TY  - JOUR
T1  - Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU
AU  - Su Qing
AU  - Guo Xiaoxia
AU  - Lv Weitao
AU  - Huang Guohua
Y1  - 2019/10/15
PY  - 2019
N1  - https://doi.org/10.11648/j.ajim.20190705.15
DO  - 10.11648/j.ajim.20190705.15
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 132
EP  - 135
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20190705.15
AB  - The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.
VL  - 7
IS  - 5
ER  -

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Author Information

Su Qing

Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Guo Xiaoxia

The First Affiliated Hospital, Jinan University, Guangzhou, China
Lv Weitao

Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
Huang Guohua

Department of the General Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Su Qing, Guo Xiaoxia, Lv Weitao, Huang Guohua. (2019). Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. American Journal of Internal Medicine, 7(5), 132-135. https://doi.org/10.11648/j.ajim.20190705.15

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ACS Style

Su Qing; Guo Xiaoxia; Lv Weitao; Huang Guohua. Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. Am. J. Intern. Med. 2019, 7(5), 132-135. doi: 10.11648/j.ajim.20190705.15

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AMA Style

Su Qing, Guo Xiaoxia, Lv Weitao, Huang Guohua. Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU. Am J Intern Med. 2019;7(5):132-135. doi: 10.11648/j.ajim.20190705.15

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@article{10.11648/j.ajim.20190705.15,
  author = {Su Qing and Guo Xiaoxia and Lv Weitao and Huang Guohua},
  title = {Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU},
  journal = {American Journal of Internal Medicine},
  volume = {7},
  number = {5},
  pages = {132-135},
  doi = {10.11648/j.ajim.20190705.15},
  url = {https://doi.org/10.11648/j.ajim.20190705.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20190705.15},
  abstract = {The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.},
 year = {2019}
}

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TY  - JOUR
T1  - Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU
AU  - Su Qing
AU  - Guo Xiaoxia
AU  - Lv Weitao
AU  - Huang Guohua
Y1  - 2019/10/15
PY  - 2019
N1  - https://doi.org/10.11648/j.ajim.20190705.15
DO  - 10.11648/j.ajim.20190705.15
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 132
EP  - 135
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20190705.15
AB  - The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.
VL  - 7
IS  - 5
ER  -

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