Evaluation and Analysis of Outcomes Resulting from Internal Jugular Vein Catheterization Using In-Plane and Out-of-Plane Ultrasound-Guided Techniques in Oncology Patients at Shariati Hospital

Nima  Mohammadi Afrakoti; Mobin Bararpour Rokni; Samaneh  Hajimola Rabei; Gita Shoeibi; Mohammadsadegh  Talebi Kahdouei; Fatemeh Aghaei; Alireza Khajehnasiri

doi:10.18502/ajs.v7i1.16346

Nima Mohammadi Afrakoti Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran
Mobin Bararpour Rokni Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran
Samaneh Hajimola Rabei Neurology Department, Alborz University of Medical Sciences, Alborz, Iran
Gita Shoeibi Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran
Mohammadsadegh Talebi Kahdouei Medical School, Tehran University of Medical Sciences, Tehran, Iran
Fatemeh Aghaei Medical School, Tehran University of Medical Sciences, Tehran, Iran
Alireza Khajehnasiri Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/ajs.v7i1.16346

Keywords: : Central Venous Catheter, Ultrasound-Guided, Internal Jugular Vein, Oncology

Abstract

Background: Central venous catheters (CVCs) are primarily used in oncology to protect peripheral veins and provide effective access to chemotherapy. The authors investigated the results of in-plane ultrasound-guided imaging compared to out-of-plane imaging in patients with oncology-related CVC placement in the oncology department of Shariati Hospital in Tehran.

Methods: This cross-sectional analytical study was conducted on 50 eligible oncology patients over 6 months in 1400 at Shariati Hospital in Tehran. The patients were randomly divided into two groups: in-plane and out-of-plane, and the internal jugular venous catheter was inserted by using one of the methods above by an anesthesiologist. The necessary variables for statistical analysis were collected using predetermined questionnaires.

Results: The mean age of the patients was 73.42 years, with 25 female participants. The catheter insertion was successfully performed in all patients. The mean duration of catheter insertion in the study population was 2.289 seconds, the mean number of skin punctures was 1.7, and catheter placement was successful in 62% of patients on the first attempt. A total of 23 complications occurred, with carotid artery puncture being the most common. The catheterization method, whether in-plane or out-of-plane, did not affect the initial success of catheter insertion.

Conclusions: According to the findings of this study, internal jugular vein catheterization was successfully performed using both in-plane and out-of-plane methods with similar results.