Ultrasound-Guided Central Venous Cannulation in Neonates: A Comparison Between Introducer Needle and Cannula over the Needle Techniques
DOI:
https://doi.org/10.51253/pafmj.v74i3.7122Keywords:
Cannula, Central Venous Catheters, Newborn, UltrasonographyAbstract
Objective: To compare introducer needle technique versus cannula over the needle technique for guide-wire placement to perform successful central venous cannulation in neonates using ultrasonography
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anaesthesia, Pak Emirates Military Hospital Rawalpindi Pakistan, from Feb 2020 to Jun 2021.
Methodology: A total of 78 neonates who required central venous cannulation under general anaesthesia were randomly divided into two equal groups, Introducer Needle Group, Group-I (n=39), and Cannula Over the Needle Group, Group-II (n=39). Primary outcome measure was success on first attempt and secondary outcomes were total number of attempts until success and duration of procedure. Procedure related complications were also recorded.
Results: Success on first attempt was much higher in Cannula over the Needle (CN) Group. Total number of attempts until successful cannulation were less in cannula over the needle (CN) group and time taken to perform successful cannulation was less in Cannula Over the Needle Group as compared to introducer needle group.
Conclusion: In neonates if cannula over the needle is used instead of introducer needle, success on first attempt is more likely. Moreover, number of attempts are reduced and less time is taken to perform successful procedure.
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References
Lau CS, Chamberlain RS. Ultrasound-guided central venous catheter placement increases success rates in pediatric patients: A Meta-Analysis. Pediatr Res 2016: 80(2); 178-184.
https://doi.org/10.1038/pr.2016.74
Oulego-Erroz I, Gonzalez-Cortes R, Garcia-Soler P. Ultrasound-guided or landmark techniques for central venous catheter placement in critically ill children. Intensive Care Med 2018: 44(1); 61-72. https://doi.org/10.1007/s00134-017-4985-8
Shime N, Hosokawa K, MacLaren G. Ultrasound Imaging Reduces Failure Rates of Percutaneous Central Venous Catheterization in Children. Pediatr Crit Care Med 2015: 16(8); 718-725. https://doi.org/10.1097/PCC.0000000000000470
Bhatt S, Dahat A, Jain N, Nayak U, Patel V. Indications and complications of central venous catheterization in critically ill children in intensive care unit. Nat J Med Res 2012: 2(1); 85-88.
Calvache JA, Rodriguez MV, Trochez A, Klimek M, Stolker RJ, Lesaffre E, et al. Incidence of mechanical complications of central venous catheterization using landmark technique. J Intensive Care Med 2016: 31(6); 397-402.
https://doi.org/10.1177/0885066614541407
Zanolla GR, Baldisserotto M, Piva J. How useful is ultrasound guidance for internal jugular venous access in children? J Pediatr Surg 2018: 53(4); 789-793.
https://doi.org/10.1016/j.jpedsurg.2017.08.010
Henrique de Souza T, Brandão MB, Santos TM. Ultrasound guidance for internal jugular vein cannulation in PICU: a randomised controlled trial: Archives of Disease in Childhood BMJ 2018:103(10);952-956.
https://doi.org/10.1136/archdischild-2017-314568
Ates U, Derme T, Yilmaz Y. Ultrasound guided percutaneous central venous catheters in neonatal intensive care unit. Turk. J. Pediatr 2018:60(5):476-479.
http://doi.org/10.24953/turkjped.2018.05.002
Hussain S, Asghar, Sabir M, Chattha M, Tarar S H, Mushtaq R, et al. Prevalence and pattern of congenital malformations among neonates in the neonatal unit of a teaching hospital. J Pak Med Assoc 2014:64(6);629-634
Sabouneh R, Akiki P, Al Bizri A, El Helou S, Zeidan S, Al Hamod D, et al. Ultrasound guided central line insertion in neonates: Pain score results from a prospective study. J Neonatal Perinatal Med. 2020;13(1): 129-134.
http://doi.org/10.3233/NPM-180205
Naik VM, Mantha SSP, Rayani BK. Vascular access in children. Indian J Anaesth 2019;63(9):737-745.
http://doi.org/10.4103/ija.IJA_489_19
Scott-Warren V, Morley R. Paediatric vascular access. Br J Anaesth 2015:(4);199–206.
https://doi.org/10.1093/bjaceaccp/mku050
Rey C, Alvarez F, De La Rua V, Medena A. Mechanical complications during central venous cannulations in pediatric patients. Intensive Care Med 2009;35(8): 1438-1443.
https://doi.org/10.1007/s00134-009-1534-0
Neto EPS, Grousson S, DufloF, Tahon F,Mottolese C, Dailer F, et al. Ultrasonographic anatomic variations of the major veins in paediatric patients. Br J Anaesth 2014:112(5);879–884.
https://doi.org/10.1093/bja/aet482
Song IK, Lee JH, Kang JE. Comparison of central venous catheterization techniques in pediatric patients: needle vs angiocath. Paediatr Anaesth 2015;25(11): 1120-1126.
https://doi.org/10.1111/pan.12726
Tapia FM, Tamez AR, Esquival IC, Arroya IB, Garduno AH, Balderrama IR. Efficacy and safety of ultrasound-guided internal jugular vein catheterization in low birth weight newborn. J Pediatr Surg 2016:51(10);1700-1703.
https://doi.org/10.1016/j.jpedsurg2016.05.014
Hamouda SA, Hashem AE, Okasha MAA. Ultrasound-guided thin-wall needle technique versus cannula-over-needle technique in internal jugular vein catheterization in infants. Anaesth Intensive Care Med 2019:6(1);56–63.
https://doi.org/10.4103/roaic.roaic_102_17
Song IK, Kim EH, Lee JH, Jang YE, Kim HS, Kim JT. Seldinger vs modified Seldinger techniques for ultrasound-guided central venous catheterisation in neonates: a randomised controlled trial. Br J Anaesth 2018:121(6);1332-1337.
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Copyright (c) 2024 Azmat Riaz, Shahid Maqsood, Kaukab Majeed, Syed Ali Mazhar Rizvi, Amran Hafiz, Aman Gulrez
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