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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Comparative Study of the Feasibility of External Jugular Vein Cannulations versus Internal Jugular Vein Cannulations in Patients Undergoing Elective Surgical Procedures
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A Comparative Study of the Feasibility of External Jugular Vein Cannulations versus Internal Jugular Vein Cannulations in Patients Undergoing Elective Surgical Procedures

机译：外部颈部静脉挤压与内部颈静脉插管的可行性的比较研究，接受选修外科手术

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The Internal Jugular Vein (IJV) and subclavian vein cannulations are mainly performed in daily clinical practice. Although success rates for IJV and subclavian veins are high, still the complications are not infrequent. The External Jugular Vein (EJV) approach to the subclavian vein is less taught and less practiced. The fear of frequent failures has discouraged the practitioners from using this approach.Aim: To compare the success rate, number of attempts, and complications associated with IJV and EJV catheterisations.Materials and Methods: A total of 160 patients, requiring central venous catheterisation for various surgical procedures were randomly divided into two groups. Patients in group I (n=80) underwent right IJV catheterisation and patients in group E (n=80) underwent right EJV catheterisation. The number of attempts for cannulation, success or failure of catheterisation and any complications associated with the procedure or in the post-operative period were noted in each group. The data was compared between the two groups by using Chi-square test and Studenta??s Independent samples t-test.Results: The right IJV was successfully cannulated in 90% while as the right EJV was successfully cannulated in 70% of the patients (p=0.05). All cannulations were done by the same anaesthesiologist. Malpositioning of catheter was noted in eight patients in Group E while five patients had malpositions in Group I. Pneumothorax was encountered in two patients, and carotid artery puncture in three patients from group I.Conclusion: The rate of success for IJV was better than the EJV. The complication rate of pneumothorax and carotid artery injury was more with IJV than EJV.
机译：内部颈静脉（IJV）和亚克拉夫静脉挤压主要在日常临床实践中进行。虽然IJV和亚克拉夫静脉的成功率很高，但并发症仍然不常见。外部颈椎静脉（EJV）对锁骨期静脉的方法不太教育和较少的实践。害怕频繁失败已经阻止了从业者使用这种方法。目的：比较与IJV和EJV导热液相关的成功率，尝试次数和并发症。材料和方法：共160例患者需要将各种外科手术的中央静脉导管随机分为两组。 I族（N = 80）患者接受右IJV导热液和e组（N = 80）的患者接受右EJV导热液。在每组中注意到导管划分，成功或失败以及与程序相关的任何并发症的尝试次数，并在每组后的任何并发症。通过使用Chi-Square测试和学生的独立样品T检验比较两组之间的数据。结果：右侧IJV成功收集90％，而右侧EJV成功插管70％患者（p = 0.05）。所有加钙都是通过相同的麻醉师完成的。在e组中的八名患者中注意到导管的丙位患者，其中5名患者在I组中患有孕口。在两个患者中遇到过肺炎，三个患者中的颈动脉穿刺I. 结论：IJV的成功率比EJV更好。气胸和颈动脉损伤的并发症率与IJV比EJV更多。

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