A Comparative study of advantages and disadvantages of anterior and posterior approach for internal jugular vein catheterization

Raghavendra Bhosale; Jagdish Alur; Smitha M; Sunilkumar S Biradar

Volume : VII, Issue : III, March - 2018

A Comparative study of advantages and disadvantages of anterior and posterior approach for internal jugular vein catheterization

Raghavendra Bhosale, Jagdish Alur, Smitha M, Sunilkumar S Biradar

Abstract :

Internal jugular vein (IJV) catheterization is commonly attempted to obtain central venous access for hemodynamic monitoring (such as central venous pressure), long–term administration of fluids, antibiotics, total parenteral nutrition, kemoterapics, and hemodialysis. Many anatomical landmark (LM)–guided techniques for IJV puncture have been described. Complications, including death, are influenced by patient factors such as Body Mass Index (BMI), site of attempted access, and operator experience. Cannulation of the IJV is usually preferred because of its anatomical position and large diameter in the Trendelenburg position. Moreover, the minimal likelihood of obstructions along its route to the right atrium facilitates the introduction of various sizes of catheters using the external anatomical landmark method.

Objectives: To compare the anterior and posterior approach in internal jugular vein catheterization and to document the advantages and disadvantages of each of the approach

Methods: The present study was carried out in the M.S.Ramaiah medical teaching hospital. This study involves 100 patients (50 patients for each approach).Data was collected and analysis was done.

Results: Out of 100 patients, it was found that the anterior approach was associated with a better success rate (96%) compared to posterior approach (92%). Carotid artery puncture was encountered in 2 patients. Internal jugular vein was successfully identified on the second attempt in posterior approach.

Conclusion: The posterior approach is safe and easy to accomplish as that of more popular anterior approach