ULTRASOUND-GUIDED INTERNAL JUGULAR VEIN CATHETERIZATION IN PATIENTSWITH SCOLIOTIC DEFORMITY
https://doi.org/10.14531/ss2011.2.53-57
Abstract
Objective. To analyze the advantages of ultrasound-guided catheterization of the internal jugular vein in patients with scoliotic deformity.
Material and Methods. Patients with scoliotic deformity (n = 366), aged 16 months to 18 years were divided into two groups. The study group included patients (n = 128) in whom ultrasound guided approach to the internal jugular vein was used. Out of them 79 patients underwent classical catheterization over the guidewire with aspiration sample, and 49 – intravasal insertion of J-guidewire without aspiration sample. The control group included patients (n = 238) who underwent catheterization without ultrasound control with aspiration sample over the guidewire.
Results. Ultrasound-guided puncture and catheterization of the internal jugular vein decreases complication rate and shortens the time of preoperative preparation.
Conclusion. The study showed that puncture in Trendelenburg’s position improves verification of the internal jugular vein. Ultrasound control allows performing catheterization over guidewire without aspiration sample with low rate of complications.
About the Authors
Dmitry Vladislavovich Zabolotsky
St.Petersburg State Pediatric Medical Academy, Research Pediatric Orthopaedic Institute n.a. G.I.Turner, St.Petersburg
Russian Federation
Russian Federation
Gleb Eduardovich Ulrikh
St.Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Andrey Gennadyevich Kulev
St.Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Natalya Sergeyevna Malashenko
St.Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
Andrey Olegovich Kolosov
St.Petersburg State Pediatric Medical Academy
Russian Federation
Russian Federation
References
1. Андрианов В.Л., Баиров Г.А., Садофьева В.И. и др. Заболевания и повреждения позвоночника у детей и подростков. Л., 1985.
2. Быков М.В., Айзенберг В.Л. Ультразвуковые исследования в обеспечении инфузионной терапии. М., 2009.
3. Лекманов А.У. Протокол катетеризации вен у детей // Педиатрическая анестезиология и интенсивная терапия: Тез. докл. 4-го Рос. конгресса. 2007. С. 14–20.
4. Поздникин Ю.И., Овечкина А.В., Соловьева К.С. и др. Характеристика патологии опорно-двигательного аппарата у детей Санкт-Петербурга // Человек и его здоровье: Тез. докл. III Рос. нац. конгресса. СПб., 1998. С. 128.
5. Садовой М.А., Фомичев Н.Г. Компьютерная оптическая система диагностики деформаций позвоночника у детей // Травматол. и ортопед. России. 1994. № 3. С. 43–51.
6. Сухоруков В.П., Бердикян А.С., Эпштейн С.Л. Пункция и катетеризация вен. Традиционные и новые технологии. СПб., 2001.
7. Ульрих Э.В. Аномалии позвоночника у детей: Рук-во для врачей. СПб., 1995.
8. Ульрих Э.В. Закономерности сочетания пороков развития различных органов и систем при аномалийном развитии позвоночника // Пороки развития и наследственные заболевания: сб. науч. трудов. Смоленск, 1982. С. 11–18.
9. La Grange P., Foster P.A., Pretorius L.K. Application of the Doppler ultrasound bloodflow detector in supraclavicular brachial plexus block // Br. J. Anaesth. 1978. Vol. 50. P. 965–967.
10. Marhofer P., Greher M., Kapral S. Ultrasound guidance in regional anaesthesia // Br. J. Anaesth. 2005. Vol. 94. P. 7–17.
11. McGee D.C., Gould M.K. Preventing complications of central venous catheterization // N. Engl. J. Med. 2003. Vol. 348. P. 1123–1133.
12. Mitre C.I., Golea A., Acalovschi I., et al. Ultrasound-guided external jugular vein cannulation for central venous access by inexperienced trainees // Eur. J. Anaesthesiol. 2010. Vol. 27. P. 300–303.
Review
For citations:
Zabolotsky D.V., Ulrikh G.E., Kulev A.G., Malashenko N.S., Kolosov A.O. ULTRASOUND-GUIDED INTERNAL JUGULAR VEIN CATHETERIZATION IN PATIENTSWITH SCOLIOTIC DEFORMITY. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2011;(2):053-057. (In Russ.) https://doi.org/10.14531/ss2011.2.53-57
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