Safety and Effectiveness of Real-time Two-dimensional Ultrasound Guidance for Internal Jugular Vein Cannulation: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHANGQin , MAHai-ping , LIXin , WUJian-jiang , WANGJiang ,  ZHENGHong

Department of Anesthesia, First Hospital of Xinjiang Medical University, Urumqi 830011, China;

Corresponding author：

ZHENGHong, Email: xjzhenghong@aliyun.com

Keywords：

Real-time two-dimensional ultrasound guidance; Internal jugular vein catheterization; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.20150033

Video：

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Objective To systematically review the effectiveness and safety of anatomic landmarks positioning method (ALM) and real-time two-dimensional ultrasound (RTUS) guidance in the internal jugular vein cannulation. Methods We searched PubMed, EMbase, Web of Knowledge, CBM, WanFang Data and CNKI for randomized controlled trials (RCTs) concerning the effectiveness and safety of ALM and RTUS in the internal jugular vein catheterization up to May 1^st, 2014. According to the inclusion and exclusion criteria, two reviewers independently screened literature, extracted data, and assess methodological quality of included studies. Then meta-analysis was performed using RevMan 5.3 software. Results A total of 10 RCTs involving 1 973 cases were included in the metaanalysis. The results of meta-analysis showed that, compared with the ALM method, the RTUS method reduced puncture failure rate (OR=0.08, 95%CI 0.05 to 0.15, P<0.000 01). For safety, compared with the ALM method, the RTUS method was significantly lower in arterial injury rate (peto-OR=0.22, 95%CI 0.14 to 0.37, P<0.000 01), and the incidence of pneumothorax (peto-OR=0.13, 95%CI 0.04 to 0.40, P=0.000 3). Conclusion Compared to the ALM method, the RTUS method has characteristics such as causing fewer traumas, and having higher success rate and fewer complications. Due to limited quantity and quality of the included studies, the above conclusion still needs to be verified by conducting more studies.

Citation： ZHANGQin, MAHai-ping, LIXin, WUJian-jiang, WANGJiang, ZHENGHong. Safety and Effectiveness of Real-time Two-dimensional Ultrasound Guidance for Internal Jugular Vein Cannulation: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2015, 15(2): 188-193. doi: 10.7507/1672-2531.20150033 Copy

1.	Koski EM, Suhonen M, Mattila MA. Ultrasound-facilitated central venous cannulation. Crit Care Med, 1992, 20(3):424-426.
2.	Turker G, Kaya FN, Gurbet A, et al. Internal jugular vein cannulation:An ultrasound-guided technique versus a landmarkguided technique. Clinics (Sao Paulo), 2009, 64(10):989-992.
3.	Prabhu MV, Juneja D, Gopal PB, et al. Ultrasound-guided femoral dialysis access placement:A single-center randomized trial. Clin J Am Soc Nephrol, 2010, 5(2):235-239.
4.	余守章, 岳云. 临床监测学. 北京:人民卫生出版社, 2005:41-43.
5.	Legler D, Nugent M. Doppler localization of the internal jugular vein facilitates central venous cannulation. Anesthesiology, 1984, 60(5):481-482.
6.	Yonei A, Nonoue T, Sari A. Real time ultrasonic guidance for percutaneous puncture of the internal jugular vein. Anesthesiology, 1986, 64(6):830-831.
7.	Palepu GB, Deven J, Subrahmanyam M, et al. Impact of ultrasonography on central venous catheter insertion in intensive care. Indian J Radiol Imaging, 2009, 19(3):191-198.
8.	Agarwal A, Singh DK, Singh AP. Ultrasonography:A novel approach to central venous cannulation. Indian J Crit Care Med, 2009, 13(4):213-216.
9.	Airapetian N, Maizel J, Langelle F, et al. Ultrasound-guided central venous cannulation is superior to quick-look ultrasound and landmark methods among inexperienced operators:a prospective randomized study. Intensive Care Med, 2013, 39(11):1938-1944.
10.	Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration. 2011. Available at:www.cochranehandbook.org.
11.	Bansal R, Agarwal SK, Tiwari SC, et al. A prospective randomized study to compare ultrasound-guided with nonultrasound-guided double lumen internal jugular catheter insertion as a temporary hemodialysis access. Ren Fail, 2005, 27(5):561-564.
12.	Grebenik CR, Boyce A, Sinclair M, et al. NICE guidelines for central venous catheterization in children. Is the evidence base sufficient? Br J Anaesth, 2004, 92(6):827-830.
13.	Karakitsos D, Labropoulos N, de Groot E, et al. Real-time ultrasound guided catheterisation of the internal jugular vein:A prospective comparison with the landmark technique in critical care patients. Crit Care, 2006, 10(6):R162.
14.	Leung J, Duffy M, Finckh. A. Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications:A randomized, prospective study. Ann Emerg Med, 2006, 48(5):540-547.
15.	Milling TJ Jr, Rose J, Briggs WM, et al. Randomized, controlled clinical trial of point of-care limited ultrasonography assistance of central venous cannulation:The Third Sonography Outcomes Assessment Program (SOAP-3) Trial. Crit Care Med, 2005, 33(8):1764-1769.
16.	Shrestha BR, Gautam B. Ultrasound versus the landmark technique:A prospective randomized comparative study of internal jugular vein cannulation in an intensive care unit. JNMA J Nepal Med Assoc, 2011, 51(182):56-61.
17.	张艺泷, 米卫东, 于德江, 等. 超声体表定位用于颈内静脉中路穿刺置管的实用性观察. 中国医学科学院学报, 2011, 33(5):479-484.
18.	Dowling M, Jlala HA, Hardman JG, et al. Real-time threedimensional ultrasound-guided central venous catheter placement. Anesth Analg, 2011, 112(2):378-381.
19.	Hind D, Calvert N, McWilliams R, et al. Ultrasonic locating devices for central venous cannulation:Meta-analysis. BMJ, 2003, 327(7411):361.
20.	Maecken T, Marcon C, Bomas S, et al. Relationship of the internal jugular vein to the common carotid artery:Implications for ultrasound-guided vascular access. Eur J Anaesthesiol, 2011, 28(5):351-355.
21.	Hayashi H, Amano M. Does ultrasound imaging before purcture facilitate internal jugular vein cannulation? Prospective randomized comparison with landmark-guided puncture in ventilated patients. J Cardiothorac Vasc Anesth, 2002, 16(5):572-575.

1. Koski EM, Suhonen M, Mattila MA. Ultrasound-facilitated central venous cannulation. Crit Care Med, 1992, 20(3):424-426.
2. Turker G, Kaya FN, Gurbet A, et al. Internal jugular vein cannulation:An ultrasound-guided technique versus a landmarkguided technique. Clinics (Sao Paulo), 2009, 64(10):989-992.
3. Prabhu MV, Juneja D, Gopal PB, et al. Ultrasound-guided femoral dialysis access placement:A single-center randomized trial. Clin J Am Soc Nephrol, 2010, 5(2):235-239.
4. 余守章, 岳云. 临床监测学. 北京:人民卫生出版社, 2005:41-43.
5. Legler D, Nugent M. Doppler localization of the internal jugular vein facilitates central venous cannulation. Anesthesiology, 1984, 60(5):481-482.
6. Yonei A, Nonoue T, Sari A. Real time ultrasonic guidance for percutaneous puncture of the internal jugular vein. Anesthesiology, 1986, 64(6):830-831.
7. Palepu GB, Deven J, Subrahmanyam M, et al. Impact of ultrasonography on central venous catheter insertion in intensive care. Indian J Radiol Imaging, 2009, 19(3):191-198.
8. Agarwal A, Singh DK, Singh AP. Ultrasonography:A novel approach to central venous cannulation. Indian J Crit Care Med, 2009, 13(4):213-216.
9. Airapetian N, Maizel J, Langelle F, et al. Ultrasound-guided central venous cannulation is superior to quick-look ultrasound and landmark methods among inexperienced operators:a prospective randomized study. Intensive Care Med, 2013, 39(11):1938-1944.
10. Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration. 2011. Available at:www.cochranehandbook.org.
11. Bansal R, Agarwal SK, Tiwari SC, et al. A prospective randomized study to compare ultrasound-guided with nonultrasound-guided double lumen internal jugular catheter insertion as a temporary hemodialysis access. Ren Fail, 2005, 27(5):561-564.
12. Grebenik CR, Boyce A, Sinclair M, et al. NICE guidelines for central venous catheterization in children. Is the evidence base sufficient? Br J Anaesth, 2004, 92(6):827-830.
13. Karakitsos D, Labropoulos N, de Groot E, et al. Real-time ultrasound guided catheterisation of the internal jugular vein:A prospective comparison with the landmark technique in critical care patients. Crit Care, 2006, 10(6):R162.
14. Leung J, Duffy M, Finckh. A. Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications:A randomized, prospective study. Ann Emerg Med, 2006, 48(5):540-547.
15. Milling TJ Jr, Rose J, Briggs WM, et al. Randomized, controlled clinical trial of point of-care limited ultrasonography assistance of central venous cannulation:The Third Sonography Outcomes Assessment Program (SOAP-3) Trial. Crit Care Med, 2005, 33(8):1764-1769.
16. Shrestha BR, Gautam B. Ultrasound versus the landmark technique:A prospective randomized comparative study of internal jugular vein cannulation in an intensive care unit. JNMA J Nepal Med Assoc, 2011, 51(182):56-61.
17. 张艺泷, 米卫东, 于德江, 等. 超声体表定位用于颈内静脉中路穿刺置管的实用性观察. 中国医学科学院学报, 2011, 33(5):479-484.
18. Dowling M, Jlala HA, Hardman JG, et al. Real-time threedimensional ultrasound-guided central venous catheter placement. Anesth Analg, 2011, 112(2):378-381.
19. Hind D, Calvert N, McWilliams R, et al. Ultrasonic locating devices for central venous cannulation:Meta-analysis. BMJ, 2003, 327(7411):361.
20. Maecken T, Marcon C, Bomas S, et al. Relationship of the internal jugular vein to the common carotid artery:Implications for ultrasound-guided vascular access. Eur J Anaesthesiol, 2011, 28(5):351-355.
21. Hayashi H, Amano M. Does ultrasound imaging before purcture facilitate internal jugular vein cannulation? Prospective randomized comparison with landmark-guided puncture in ventilated patients. J Cardiothorac Vasc Anesth, 2002, 16(5):572-575.

Chinese Journal of Evidence-Based Medicine

Safety and Effectiveness of Real-time Two-dimensional Ultrasound Guidance for Internal Jugular Vein Cannulation: A Systematic Review

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