Abstract
Background and Aims: Central venous cannulation is a common procedure in intensive care unit. Use of ultrasound guidance can decrease complications and increase successful cannulations.
 Methods: Patients who underwent ultrasound guided central venous cannulation over a duration of one year, in a single center, were analyzed retrospectively.
 Results: A total of 101 patients were analyzed. Internal jugular vein was cannulated in 84 (83.2%) and femoral vein was cannulated in 17 (16.8%) patients. Cannulation was successful in all cases. Elective cannulation was performed in 80 (79.2%) of patients and emergency cannulation was performed in 21 (20.8%) patients. Platelet count was less than 50000/cu mm in 30 (29.7%) patients and prothrombin time was more than 13 seconds in 84 (83.2%) patients. Cannulation was successfully performed in first attempt in 99 (98%) patients. None of the patients had arterial puncture, major bleeding, pneumothorax, arrhythmias or catheter malposition. One patient developed hematoma at the catheter insertion site.
 Conclusions: When performed by an experienced operator, ultrasound guidance can enhance safety and improve success for central venous cannulation.
Highlights
Central venous cannulation is a common procedure in intensive care unit (ICU)
We performed a retrospective analysis of ultrasound guided central venous cannulation in ICU of a single center over a duration of one year
Internal jugular vein was cannulated in 84 (83.2%) and femoral vein was cannulated in 17 (16.8%) patients
Summary
Central venous cannulation is a common procedure in intensive care unit (ICU). The common indications are for administration of vasopressors and inotropes, volume resuscitation, renal replacement therapy, total parenteral nutrition, etc. Cannulation might be performed under elective or emergency circumstances, depending on the indication.[1] Ultrasound guidance for central venous cannulation has been increasingly used in clinical practice. JAIM 17: (Volume 09, Number 01, January - June 2020). When performed by properly trained clinician, use of ultrasound guidance improves cannulation success and reduces complications.[2,3] We performed a retrospective analysis of ultrasound guided central venous cannulation in ICU of a single center over a duration of one year. Central venous cannulation is a common procedure in intensive care unit. Use of ultrasound guidance can decrease complications and increase successful cannulations
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