Ultrasound guidance in central venous catheterization has become the standard for clinical practice. Many approaches have been described in ultrasound guided catheterization procedures. The aim of this study is to compare the classical short axis out of plane (SAX-OOP) approach and the new anteroposterior short axis in plane (APSAX-IP approach in central jugular venous catheterization. The study was planned as prospective randomized and controlled. One hundred patients were planned to be included in this study. Patients will be divided into two groups: Central jugular vein catheterization will be performed with the short axis out of plane group (ultrasound transducer will be positioned classically from medial to lateral in the neck) and anteroposterior short axis in plane group (ultrasound transducer will be positioned laterally from anterior to posterior on the neck). The two groups will be compared in terms of number of puncture attempts, duration of the procedure, ultrasound scan time before the procedure, number of needle redirection, overall success rate, complications, ease of catheterization and ultrasound visibility.
Age range
18 Years – 75 Years
Sex
ALL
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Number of puncture attempts
Timeframe: From the 1st second through withdrawal of the needle, up to 3 minutes
Cannulation procedural time
Timeframe: During the procedure, starting from the 1st second through placement of the catheter; up to 3 minutes
Catheterization procedural time
Timeframe: During the procedure, starting from the 1st second through placement of the catheter; up to 3 minutes
Number of needle redirections
Timeframe: During the whole cannulation procedure
Success rate
Timeframe: Through catheterizations completion, an average of 4 months
Success rate at first attempt
Timeframe: Through study completion, an average of 4 months
Complications
Timeframe: Through study completion, an average of 4 months ]