COMPARISON OF INTERNAL JUGULAR VEIN CANNULATION IN NEUTRAL HEAD POSITION VERSUS CLASSICAL CENTRAL APPROACH

Dr. S. Vinodhkumar; Dr. M. Vijayasankar

Volume : IX, Issue : III, March - 2019

COMPARISON OF INTERNAL JUGULAR VEIN CANNULATION IN NEUTRAL HEAD POSITION VERSUS CLASSICAL CENTRAL APPROACH

Dr. S. Vinodhkumar, Dr. M. Vijayasankar

Abstract :

Background: The standard conventional technique for placing central venous catheters in the IJV is by using anatomical landmarks. All those techniques are described with the head either turned or significantly extended in order to improve the access which are contraindicated in some situations. Our aim is to compare the ease of placement of IJV catheter in neutral head position with that of classical central approach. Materials and methods: The study was done in a prospective randomised manner.66 patients were randomly divided into two groups. Group C for classical central approach and Group N for IJV cannulation in neutral head position. Number of attempts, success at first attempt, ease of guide wire insertion, failure to locate IJV and complications were assessed. Results: The observation of these parameters between the two groups did not show any statistical significance. Conclusion: Cannulating the Internal jugular vein with the head in neutral position is a safe and reliable alternative technique in special situations.