Volume 19 Issue 6
Jun.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(6): 940-943
HUANG Lei, DI Jia-mei, ZOU Bao, DUAN Bing-hui, LIU Zhi, ZHANG Chao-xue. Retrospective analysis of ultrasound-guided and blind central vein catheterisation[J]. Chinese Journal of General Practice, 2021, 19(6): 940-943. doi: 10.16766/j.cnki.issn.1674-4152.001955
Citation: HUANG Lei, DI Jia-mei, ZOU Bao, DUAN Bing-hui, LIU Zhi, ZHANG Chao-xue. Retrospective analysis of ultrasound-guided and blind central vein catheterisation[J]. Chinese Journal of General Practice, 2021, 19(6): 940-943. doi: 10.16766/j.cnki.issn.1674-4152.001955
shu

Retrospective analysis of ultrasound-guided and blind central vein catheterisation

doi: 10.16766/j.cnki.issn.1674-4152.001955
  • 1.

    Department of Ultrasound, the First Affiliated Hospital of Anhui University of Technology, Huainan, Anhui 232000, China

Funds:

 KJ2019A0095

  • Received Date: 2020-04-26
    Available Online: 2022-02-16
    Abstract
  •   Objective  Retrospective analysis of the effect of ultrasound guidance and traditional blind puncture in different regions of central venous catheterisation.  Methods  A total of 117 patients with renal failure who were hospitalised in the Department of Nephrology of the First Affiliated Hospital of Anhui University of Technology and Hainan First People's Hospital from March 2017 to March 2020 were selected and divided into ultrasound guided and blind puncture groups by catheterisation method. The ultrasound-guidedgroup was then divided into Cervical vein catheterization group and femoral vein catheterization group, components were the jugular vein catheterisation and femoral vein catheterisation groups, which were finally divided into internal plane median group and out- plane low group of jugular vein by ultrasound-guided jugular vein insertion method. Incidence of complications and dialysis blood flow after catheterisation and puncture time, catheterisation time and puncture and catheterisation success rates were compared between the ultrasound guided group and blind puncture group in the blind puncture; ultrasound-guided jugular vein catheterisation; femoral vein catheterisation and ultrasound-guided jugular vein in-plane median and out-of-plane low group groups were considered.  Results  The age range of the patients in the ultrasound-guided group was significantly higher than that in the blind-puncture group (P < 0.05). Puncture time and puncture success rate in the ultrasound-guided group were significantly higher than those in the blind-puncture group. The incidence of complications in the ultrasound-guided group (3.45%) was significantly lower than the blind puncture group (18.33%), and the difference was statistically significant (all P < 0.05). Puncture time in the ultrasound-guided jugular vein catheterisation group was significantly shorter than that in the femoral vein catheterisation group (P < 0.05). No significant differences in the success rates of puncture and catheterisation were observed. Catheterisation time and blood flow in the ultrasonograph-guided jugular vein out-of-plane low-position group were significantly better than those in the ultrasound-guided jugular vein-in-plane median group (P < 0.05).  Conclusion  Compared with traditional blind puncture, ultrasound-guided central venous catheterisation has shorter puncture and catheterisation times, higher puncture success rate and fewer complications and is safer. An ultrasound-guided jugular vein out-of-plane catheter can effectively reduce the rate of insufficient blood volume and is thus worth promoting in clinics.

     

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