A COMPARATIVE STUDY ON TWO DIFFERENT APPROACHES (CENTRAL AND POSTERIOR) FOR INTERNAL JUGULAR VEIN CATHETERIZATION IN SURGICAL PATIENTS BY THE TRADITIONAL  BLIND  ANATOMICAL  LANDMARK  TECHNIQUE

Sangamithirai Rajamani; Anuradha C

Volume : VI, Issue : IX, September - 2016

A COMPARATIVE STUDY ON TWO DIFFERENT APPROACHES (CENTRAL AND POSTERIOR) FOR INTERNAL JUGULAR VEIN CATHETERIZATION IN SURGICAL PATIENTS BY THE TRADITIONAL BLIND ANATOMICAL LANDMARK TECHNIQUE

Sangamithirai Rajamani, Anuradha C

Abstract :

Background: Central venous catheterization is performed as an elective or emergency procedure. Central venous catheterization is commonly attempted at the internal jugular vein, subclavian vein, femoral vein or armveins using peripherally inserted central catheters. Internal jugular venous catheterization using traditional blind anatomic landmark technique can be done by various approaches namely central or anterior, posterior, high anterior or medial approaches Aim: The aim of the study was to compare the central and posterior approaches in internal jugular venous catheterization by using traditional blind anatomic landmark technique in patients posted for major elective surgeries. Materials: A prospective, randomized comparative study comprising of 60 patients were divided randomly into two groups. Group C underwent internal jugular venous catheterization by central approach using traditional blind anatomic landmark technique. Group P underwent internal jugular venous catheterization by posterior approach using traditional blind anatomic landmark technique. Time taken to perform block, success rate, ease and depth of insertion, occurrance of complications were observed. Results: Time taken to perform block, ease of insertion, success rate were found to be better in posterior approach group when compared to central approach group. Depth of insertion was comparable in both study groups. Complication like carotid artery puncture was found to be more with central approach group when compared to posterior approach group. Conclusion: Posterior approach to internal jugular venous catheterization is better compared to anterior approach to internal jugular venous catheterization because of shorter access time, high success rate and less incidence of complications.