Karlova Olena O, Kaminsky Vyacheslav V, Kuzminska Olena V
P.L. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine.
City Сenter of Reproductive Medicine, Kyiv, Ukraine.
Wiad Lek. 2017;70(6 pt 1):1047-1050.
Introduction: The use of ultrasound assistance of major vessels simplifies and facilitates vascular catheterization under conditions that significantly complicate gaining vascular access and reduces the risk of complications. The aim of the work is technical improvement of catheterization of major vessels, in particular, of the jugular vein, under guidance of ultrasound.
Materials and Methods:The result of catheterization of the internal jugular vein in 126 patients of intensive care unit, was analyzed. In 75 patients Seldinger's catheterization was used, taking into account anatomical markings, in 51 patients a method using ultrasound navigation was applied.
Results: The advantages of catheterization of the main vessels under the guidance of ultrasound are established, in particular, control over the procedure and reduction of the time of its carrying out, the possibility of catheterization at the first attempt and the absence of complications associated with the procedure.
Conclusions: The greatest effectiveness of internal jugular vein catheterization under the guidance of ultrasound assistency has been proved, which reduces the time of the procedure by 23.1%, reduces the number of attempts of catheterization, enables to monitor the progress of the procedure and prevent complications by using ultrasound navigation in 100% of the cases.
