Modified combined short and long axis method versus oblique axis method in adult patients undergoing right internal jugular vein cannulation: A randomized controlled non-inferiority study

作者全名："Tang, Jia-Xi; Wang, Ling; Ouyang, Ju; Tang, Xixi; Liu, Mengxiao; Liu, Hongliang; Xu, Fang"

作者地址："[Tang, Jia-Xi; Xu, Fang] Chongqing Med Univ, Dept Crit Care Med, Affiliated Hosp 1, Chongqing 400016, Peoples R China; [Tang, Jia-Xi; Tang, Xixi; Liu, Mengxiao; Liu, Hongliang] Chongqing Univ, Dept Anesthesiol, Canc Hosp, Chongqing, Peoples R China; [Wang, Ling] Chongqing Univ, Canc Hosp, Dept Phase Clin Trial Ward 1, Chongqing, Peoples R China; [Ouyang, Ju] Hechuan Dist Hosp Integrated Chinese & Western Med, Dept Oncol, Chongqing, Peoples R China"

通信作者："Xu, F (通讯作者)，Chongqing Med Univ, Dept Crit Care Med, Affiliated Hosp 1, Chongqing 400016, Peoples R China.; Liu, HL (通讯作者)，Chongqing Univ, Dept Anesthesiol, Canc Hosp, Chongqing, Peoples R China."

来源：PLOS ONE

ESI学科分类：Multidisciplinary

WOS号：WOS:001130378600005

JCR分区：Q1

影响因子：2.9

年份：2023

卷号：18

期号：12

开始页：　

结束页：　

文献类型：Article

关键词：　

摘要："BackgroundModified combined short and long axis method (MCSL) can replace oblique axis in-plane method (OA-IP) for internal jugular vein cannulation (IJVC). This randomized, non-inferiority study estimated the efficacy of MCSL compared with OA-IP in right IJVC.MethodsPatients (18-75 yr. old) undergoing right IJVC under local anesthesia were randomly assigned to MCSL or OA-IP group. The primary outcome is the event of first needle pass without posterior vessel wall puncture (PVWP). Secondary outcomes included needle attempts, success rate, puncture and cannulation time, needle visualization, probe placement difficulty and complications.ResultsAmong 190 randomized patients, 187 were involved in the analysis. The first needle pass without PVWP was 85(89.47%) in the MCSL and 81 (85.26%) in the OA-IP (p = 0.382), with a mean rate difference of 4.2% (95% confidence interval: -5.2-13.6), which confirmed the non-inferiority with the margin of -8%. MCSL group exhibited shorter procedure time and lower complications than OA-IP group. No significant differences were discovered between groups in needle attempts, success rate, incidence of probe placement difficulty and needle visualization.ConclusionsMCSL is non-inferior to OA-IP in first needle pass without PVWP in adults who underwent elective right IJVC and associate with less complications and shorter operating time.Clinical trial registrationChiCTR, ChiCTR2100046899."

基金机构：Key R&D project of Chongqing Science and Technology Bureau; Chongqing University Cancer Hospital

基金资助正文：We thank the technical support of Qianyun Pang from Chongqing University Cancer Hospital.