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Ultrasound (US) guided central venous catheterization of internal jugular vein on over 65‐year‐old patients versus blind technique
Author(s) -
Cajozzo Massimo,
Cocchiara Gerlando,
Greco Geo,
Vaglica Roberto,
Bartolotta Tommaso,
Platia Lina,
Modica Giuseppe
Publication year - 2004
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20150
Subject(s) - medicine , internal jugular vein , central venous catheter , surgery , ultrasound , incidence (geometry) , vein , catheter , radiology , physics , optics
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.