Safety evaluation of ultrasound location in axillary venipuncture
10.3760/cma.j.issn.1671-0282.2019.12.012
- VernacularTitle: 超声定位法在腋静脉穿刺中的安全性评价
- Author:
Zizhuo LIU
1
;
Yanfen CHAI
1
;
Songtao SHOU
1
;
Liquan HUANG
2
Author Information
1. Emergency Department, Tianjin Medical University General Hospital, Tianjin 300052, China
2. Intensive Care Unit, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, China
- Publication Type:Clinical Trail
- Keywords:
Axillary vein;
Central vein catheterization;
Ultrasound;
Complications;
Magney method
- From:
Chinese Journal of Emergency Medicine
2019;28(12):1520-1523
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the success rate and safety of axillary venipuncture catheterization with ultrasound localization and homologous surface localization (Magney).
Method:A total of 80 patients were enrolled in the EICU from January 2017 to September 2018. They were randomly assigned to the Magney method (n=35) and the ultrasound-guided method (n=45). The number of successful punctures, success rate and complications were recorded.
Results:Compared with ultrasound-guided method, the one-time success rate (25.7% vs 68.9%, P<0.01), puncture greater than 2 times (34.3% vs 11.1%, P=0.012), and total success rate (82.9% vs 100%, P=0.004) in Magney method were significantly different. Both of the two puncture methods were mis-invasive, and the difference was not statistically significant. In Magney method 2 patients occurred hematoma and 1 patient brachial plexus injury, but no infection occurred within 48 h. While no such occurrence was found in ultrasound-guided method.
Conclusion:Ultrasound-guided method axillary venipuncture is a safe and effective method of central venous catheterization, which has higher success rate and safety than Magney method.
