Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial

Abstract We investigated whether two needle insertion techniques for ultrasound-guided internal jugular vein (IJV) catheterization differ in the number of needling attempts and complication rate between inexperienced and experienced practitioners. A total of 308 patients requiring IJV catheterizatio...

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Autores principales:	Hyun-Kyu Yoon, Min Hur, Hyeyeon Cho, Young Hyun Jeong, Ho-Jin Lee, Seong-Mi Yang, Won Ho Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3c4f62437ddd4a078f4cfd7f07f0087e
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spelling	oai:doaj.org-article:3c4f62437ddd4a078f4cfd7f07f0087e2021-12-02T17:04:35ZEffects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial10.1038/s41598-021-86322-y2045-2322https://doaj.org/article/3c4f62437ddd4a078f4cfd7f07f0087e2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86322-yhttps://doaj.org/toc/2045-2322Abstract We investigated whether two needle insertion techniques for ultrasound-guided internal jugular vein (IJV) catheterization differ in the number of needling attempts and complication rate between inexperienced and experienced practitioners. A total of 308 patients requiring IJV catheterization were randomly assigned into one of four groups: IJV catheterization performed by inexperienced practitioners using either Seldinger (IE-S; n = 78) or modified Seldinger technique (IE-MS; n = 76) or IJV catheterization performed by experienced practitioners using either Seldinger (E-S; n = 78) or modified Seldinger technique (E-MS; n = 76). All catheterizations were performed under the real-time ultrasound guidance. The number of needling attempts was not significantly different between the two techniques within each experience group (between IE-S vs. IE-MS P = 0.550, between E-S and E-MS P = 0.834). Time to successful catheterization was significantly shorter in the E-S group compared to E-MS group (P < 0.001) while no significant difference between IE-S and IE-MS groups (P = 0.226). Complication rate was not significantly different between the two techniques within each experience group. Practitioner’s experience did not significantly affect the clinical performance of needle insertion techniques during ultrasound-guided IJV catheterization except the time to successful catheterization. Regarding the number of needling attempts and complication rate, both techniques could be equally recommended regardless of practitioner’s experience. Trial registration: clinicaltrials.gov (https://clinicaltrials.gov/ct2/show/NCT03077802).Hyun-Kyu YoonMin HurHyeyeon ChoYoung Hyun JeongHo-Jin LeeSeong-Mi YangWon Ho KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hyun-Kyu Yoon Min Hur Hyeyeon Cho Young Hyun Jeong Ho-Jin Lee Seong-Mi Yang Won Ho Kim Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial
description	Abstract We investigated whether two needle insertion techniques for ultrasound-guided internal jugular vein (IJV) catheterization differ in the number of needling attempts and complication rate between inexperienced and experienced practitioners. A total of 308 patients requiring IJV catheterization were randomly assigned into one of four groups: IJV catheterization performed by inexperienced practitioners using either Seldinger (IE-S; n = 78) or modified Seldinger technique (IE-MS; n = 76) or IJV catheterization performed by experienced practitioners using either Seldinger (E-S; n = 78) or modified Seldinger technique (E-MS; n = 76). All catheterizations were performed under the real-time ultrasound guidance. The number of needling attempts was not significantly different between the two techniques within each experience group (between IE-S vs. IE-MS P = 0.550, between E-S and E-MS P = 0.834). Time to successful catheterization was significantly shorter in the E-S group compared to E-MS group (P < 0.001) while no significant difference between IE-S and IE-MS groups (P = 0.226). Complication rate was not significantly different between the two techniques within each experience group. Practitioner’s experience did not significantly affect the clinical performance of needle insertion techniques during ultrasound-guided IJV catheterization except the time to successful catheterization. Regarding the number of needling attempts and complication rate, both techniques could be equally recommended regardless of practitioner’s experience. Trial registration: clinicaltrials.gov (https://clinicaltrials.gov/ct2/show/NCT03077802).
format	article
author	Hyun-Kyu Yoon Min Hur Hyeyeon Cho Young Hyun Jeong Ho-Jin Lee Seong-Mi Yang Won Ho Kim
author_facet	Hyun-Kyu Yoon Min Hur Hyeyeon Cho Young Hyun Jeong Ho-Jin Lee Seong-Mi Yang Won Ho Kim
author_sort	Hyun-Kyu Yoon
title	Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial
title_short	Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial
title_full	Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial
title_fullStr	Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial
title_full_unstemmed	Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial
title_sort	effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3c4f62437ddd4a078f4cfd7f07f0087e
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Effects of practitioner’s experience on the clinical performance of ultrasound-guided central venous catheterization: a randomized trial

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