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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Internal jugular venous cannulation: What is the best approach?
Annales Francaises d'Anesthesie et de Reanimation, Volume 31, No. 6, Year 2012
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Description
Objectives: The aim of this study was to compare two approaches used for internal jugular venous cannulation: the anterior way, described by English et al. and the posterior way, described by Jernigan et al. The primary endpoint was the rate of success. The secondary endpoints were the related adverse events and the difficulty factors. Study design: Prospective, randomized open clinical trial. Patients and methods: The study took place in the vital emergency room, the operating room and the emergency intensive care unit of Ibn Sina University hospital (Rabat, Morocco), between June and September 2010. Hundred and one patients needing a central venous catheter were randomized to undergo one of the two techniques. We compared: demographics, success rates, number of attempts, difficulty factors and adverse events. Results: The success rate was significantly higher in the posterior group (96% versus 68%, . P<. 0.001), with fewer attempts (1.3. ±. 0.7 versus 2.1. ±. 1.3; . P<. 0.001). There were less pneumothorax, (0 versus 6%) and more accidental arterial punctures (34 versus 25.5%) in the posterior group, but the difference wasn't significant. Finally, none of the difficulty factors were correlated to the failure rate. Conclusion: This study shows that the posterior approach in internal jugular venous cannulation is more efficient than and as safe as the anterior approach. © 2012 Société française d'anesthésie et de réanimation (Sfar).
Authors & Co-Authors
Lamkinsi, Tarik
Morocco, Kenitra
Faculty of Science, Ibn Tofail University
Kettani, Ali
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Belkhadir, Zakaria H.
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Tadili, Jawad
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Benjelloun, Mohammed Younes
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Mosadik, Ahlam
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Ahid, Samir
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Faroudy, Mamoun
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Statistics
Citations: 8
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1016/j.annfar.2012.01.024
ISSN:
07507658
e-ISSN:
17696623
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Locations
Morocco