Internal Jugular Vein Catheterization for Temporary Hemodialysis Access By Ultrasound Guided Approach And Landmark Technique: A Randomised Comparative Study

Dr Rahul Chaubey; Dr Gulshan K Mukhiya; Dr Sameer Chaubey

Volume : VIII, Issue : II, February - 2019

Internal Jugular Vein Catheterization for Temporary Hemodialysis Access By Ultrasound Guided Approach And Landmark Technique: A Randomised Comparative Study

Dr Rahul Chaubey, Dr Gulshan K Mukhiya, Dr Sameer Chaubey

Abstract :

Objective: To compare and contrast the ultrasound guided insertion of double lumen internal jugular catheterisation with landmark technique for establishing a temporary hemodialysis access. Methods: This prospective, randomized study was conducted on patients attending or admitted in the department of medicine at Geetanjali Medical College and Hospital, Udaipur, from January 2017 to July 2018. The patients were randomly assigned to two groups, each having equalled number of patients. Randomization was done by a closed–envelope method. Result and conclusion: Out of 100 diabetic patients we found that ultrasound guidance for access of the internal jugular vein for temporary hemodialysis minimizes procedure time, significantly reduces complications and provides a very high success rate in an elective setting