Abstract
The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.
Highlights
External jugular veins are the largest superficial veins in the cervix and are thick and apparent
Cases of using indwelling needle puncture through external jugular veins to establish fast intravenous channel in pre-hospital emergency treatment, patients with microcirculation failure induced by various factors and ICU patients have been reported [1,2,3,4]
The traditional puncture technique still depends on vision and touch to locate certain blood vessel and the success rate of puncture depends on vein filling degree and operator’s skill of puncture, etc
Summary
External jugular veins are the largest superficial veins in the cervix and are thick and apparent. With a short distance to the heart, external jugular veins have high velocity of blood flow, which is conducive to the thinning of drug, reducing irritation to the blood vessels. Cases of using indwelling needle puncture through external jugular veins to establish fast intravenous channel in pre-hospital emergency treatment, patients with microcirculation failure induced by various factors and ICU patients have been reported [1,2,3,4]. The traditional puncture technique still depends on vision and touch to locate certain blood vessel and the success rate of puncture depends on vein filling degree and operator’s skill of puncture, etc. Repetitive locating of blood vessels and puncture delay emergent medication of the patients and increase their pain
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