[Landmark method and ultrasound-guided method of internal jugular vein puncture: comparison of residents with staffs]

Go Kusumoto, Yasuyuki Sugi, Kazuo Higa, Shinjirou Shono, Kiyoshi Katori, Keiichi Nitahara
Masui. the Japanese Journal of Anesthesiology 2010, 59 (1): 64-6

BACKGROUND: We compared landmark with ultrasound-guided methods of internal jugular vein puncture in residents and staffs.

METHODS: Seven residents and five staffs practiced internal jugular vein puncture with landmark and ultrasound-guided methods on a manikin for internal jugular vein cannulation. Thereafter, they performed internal jugular vein cannulation on 42 patients.

RESULTS: Number of attempts of internal jugular vein cannulation by the residents was significantly lower with ultrasound-guided method than with landmark method. Three internal jugular veins could not be cannulated by residents with landmark method. The common carotid artery was punctured in one case with either method by residents.

CONCLUSIONS: Residents need more practice of internal jugular vein puncture on a manikin before clinical practice.

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