A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial

Abstract The objective of this study was to propose a new method for facilitating needle-beam alignment ultrasound-guided in-plane catheterization of the subclavian vein (SCV). Three hundred patients were recruited, and ultrasound examination of the SCV was performed. Then, the patients were divided...

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Autores principales:	Qingxiang Mao, Haitao He, Yuangang Lu, Yi Hu, Zhen Wang, Maoxiang Gan, Liyong Chen, Hong Yan
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e38c57516ca54261b923aa5f38be68f5
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spelling	oai:doaj.org-article:e38c57516ca54261b923aa5f38be68f52021-12-02T14:29:15ZA new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial10.1038/s41598-021-88798-02045-2322https://doaj.org/article/e38c57516ca54261b923aa5f38be68f52021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88798-0https://doaj.org/toc/2045-2322Abstract The objective of this study was to propose a new method for facilitating needle-beam alignment ultrasound-guided in-plane catheterization of the subclavian vein (SCV). Three hundred patients were recruited, and ultrasound examination of the SCV was performed. Then, the patients were divided into two groups and SCV catheterization was performed: ultrasound-guided catheterization with the aiming method (group A) and ultrasound-guided catheterization with needle guide (group NG). The success rate, insertion time, number of skin breaks, number of needle redirections, needle visibility and rate of mechanical complications were documented and compared for each procedure. To depict the optimum long-axis view of the SCV, there was a 30° ± 7.3° angle (rotation) between the long axis of the ultrasound probe and the clavicle, while there was a 39° ± 7.4° angle (tilt) between the ultrasound beam plane and the right chest wall. The aiming method was associated with fewer skin breaks [(mean (IQR): 1 (1–1) times vs 1 (1–2) times, P = 0.009], a shorter time to cannulation [(mean (IQR): 39 (32–48.5) s vs 48 (44–54.8) s, P = 0.000] and more needle redirections [(mean (IQR): 0 (0–1) vs 0 (0–0), P = 0.000]. There were no differences between group A and group NG in the overall success rate, first puncture success rate, needle visibility or mechanical complication rate. In conclusion, during ultrasound-guided in-plane catheterization of the SCV, the aiming method provides comparable needle-beam alignment with a lower cannulation time than the needle guide technique.Qingxiang MaoHaitao HeYuangang LuYi HuZhen WangMaoxiang GanLiyong ChenHong YanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Qingxiang Mao Haitao He Yuangang Lu Yi Hu Zhen Wang Maoxiang Gan Liyong Chen Hong Yan A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial
description	Abstract The objective of this study was to propose a new method for facilitating needle-beam alignment ultrasound-guided in-plane catheterization of the subclavian vein (SCV). Three hundred patients were recruited, and ultrasound examination of the SCV was performed. Then, the patients were divided into two groups and SCV catheterization was performed: ultrasound-guided catheterization with the aiming method (group A) and ultrasound-guided catheterization with needle guide (group NG). The success rate, insertion time, number of skin breaks, number of needle redirections, needle visibility and rate of mechanical complications were documented and compared for each procedure. To depict the optimum long-axis view of the SCV, there was a 30° ± 7.3° angle (rotation) between the long axis of the ultrasound probe and the clavicle, while there was a 39° ± 7.4° angle (tilt) between the ultrasound beam plane and the right chest wall. The aiming method was associated with fewer skin breaks [(mean (IQR): 1 (1–1) times vs 1 (1–2) times, P = 0.009], a shorter time to cannulation [(mean (IQR): 39 (32–48.5) s vs 48 (44–54.8) s, P = 0.000] and more needle redirections [(mean (IQR): 0 (0–1) vs 0 (0–0), P = 0.000]. There were no differences between group A and group NG in the overall success rate, first puncture success rate, needle visibility or mechanical complication rate. In conclusion, during ultrasound-guided in-plane catheterization of the SCV, the aiming method provides comparable needle-beam alignment with a lower cannulation time than the needle guide technique.
format	article
author	Qingxiang Mao Haitao He Yuangang Lu Yi Hu Zhen Wang Maoxiang Gan Liyong Chen Hong Yan
author_facet	Qingxiang Mao Haitao He Yuangang Lu Yi Hu Zhen Wang Maoxiang Gan Liyong Chen Hong Yan
author_sort	Qingxiang Mao
title	A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial
title_short	A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial
title_full	A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial
title_fullStr	A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial
title_full_unstemmed	A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial
title_sort	new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/e38c57516ca54261b923aa5f38be68f5
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A new method for facilitating ultrasound-guided in-plane cannulation of the subclavian vein: a randomized clinical trial

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