Echogenic technology improves cannula visibility during ultrasound-guided internal jugular vein catheterization via a transverse approach

Konstantinos Stefanidis, Nicos Pentilas, Stavros Dimopoulos, Serafim Nanas, Richard H. Savel, Ariel L. Shiloh, John Poularas, Michel Slama, Dimitrios Karakitsos

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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 < 0.01). There was strong agreement between the procedure operators and independent observers (k = 0.9; 95% confidence intervals assessed by bootstrap analysis = 0.87-0.95; P < 0.01). Access time (5.2 s ± 2.5 versus 10.6 s ± 5.7) and mechanical complications were both decreased in the EC group compared to the NEC group (P < 0.05). Conclusion. Echogenic technology significantly improved cannula visibility and decreased access time and mechanical complications during real-time ultrasound-guided IJV cannulation via a transverse approach.

Original languageEnglish (US)
Article number306182
JournalCritical Care Research and Practice
Volume2012
DOIs
StatePublished - 2012

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Jugular Veins
Catheterization
Blood Vessels
Technology
Intensive Care Units
Cannula
Confidence Intervals

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Echogenic technology improves cannula visibility during ultrasound-guided internal jugular vein catheterization via a transverse approach. / Stefanidis, Konstantinos; Pentilas, Nicos; Dimopoulos, Stavros; Nanas, Serafim; Savel, Richard H.; Shiloh, Ariel L.; Poularas, John; Slama, Michel; Karakitsos, Dimitrios.

In: Critical Care Research and Practice, Vol. 2012, 306182, 2012.

Research output: Contribution to journalArticle

Stefanidis, Konstantinos ; Pentilas, Nicos ; Dimopoulos, Stavros ; Nanas, Serafim ; Savel, Richard H. ; Shiloh, Ariel L. ; Poularas, John ; Slama, Michel ; Karakitsos, Dimitrios. / Echogenic technology improves cannula visibility during ultrasound-guided internal jugular vein catheterization via a transverse approach. In: Critical Care Research and Practice. 2012 ; Vol. 2012.
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abstract = "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 < 0.01). There was strong agreement between the procedure operators and independent observers (k = 0.9; 95{\%} confidence intervals assessed by bootstrap analysis = 0.87-0.95; P < 0.01). Access time (5.2 s ± 2.5 versus 10.6 s ± 5.7) and mechanical complications were both decreased in the EC group compared to the NEC group (P < 0.05). Conclusion. Echogenic technology significantly improved cannula visibility and decreased access time and mechanical complications during real-time ultrasound-guided IJV cannulation via a transverse approach.",
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AU - Stefanidis, Konstantinos

AU - Pentilas, Nicos

AU - Dimopoulos, Stavros

AU - Nanas, Serafim

AU - Savel, Richard H.

AU - Shiloh, Ariel L.

AU - Poularas, John

AU - Slama, Michel

AU - Karakitsos, Dimitrios

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