Ultrasound (US) guided central venous catheterization of internal jugular vein on over 65-year-old patients versus blind technique
✍ Scribed by Massimo Cajozzo; Gerlando Cocchiara; Geo Greco; Roberto Vaglica; Tommaso Bartolotta; Lina Platia; Giuseppe Modica
- Publisher
- John Wiley and Sons
- Year
- 2004
- Tongue
- English
- Weight
- 45 KB
- Volume
- 88
- Category
- Article
- ISSN
- 0022-4790
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✦ Synopsis
Abstract
Background and Objectives
Performing a central venous catheterization (CVC) on older patients for long‐term central intravenous therapy could be a very important procedure. It could be associated with a high incidence of related complications, especially on over 65‐year‐old, high risk, selected patients.
Methods
The authors analyzed the results of 72 central venous CVC of internal jugular vein performed on over 65‐year‐old patients with ultrasound (US) guide from January 1998 to April 2003.
Results
The average performing time was 4 min, with 98.7% of success, 0% of major complications, and 4.1% of minor complications (one mild vagal hypotension and two catheter dislocation).
Conclusions
The US guided technique is a safer procedure especially in older patients; it affords an easier and more rapid cannulation of a central vein, drastically reducing major and minor complications. J. Surg. Oncol. 2004;88:267–268. © 2004 Wiley‐Liss, Inc.