Comparison of ultrasound-guided dynamic needle tip positioning versus long axis in-plane techniques for axillary vein puncture and catheterization
10.3760/cma.j.cn131073.20220401.00808
- VernacularTitle:超声引导动态针尖定位和长轴平面内技术用于腋静脉穿刺置管术效果的比较
- Author:
Jingxin SU
1
;
Mingzhu CUI
;
Pengfei NIU
;
Xiaoyan SUO
;
Jiangxia WU
;
Jiaqiang ZHANG
Author Information
1. 郑州大学人民医院 河南省人民医院麻醉与围术期医学科，郑州 450003
- Keywords:
Ultrasonography;
Axillary vein;
Punctures
- From:
Chinese Journal of Anesthesiology
2022;42(8):928-931
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effects of ultrasound-guided dynamic needle tip positioning (DNTP) and long axis in-plane (LAX-IP) techniques for axillary vein puncture and catheterization.Methods:One hundred Society of Anesthesiologists physical statusⅠ-Ⅲ patients of both sexes, aged 18-64 yr, with body mass index of 20-28 kg/m 2, scheduled for elective axillary vein cannulation, were divided into 2 groups ( n=49 each) using the random number table method: DNTP group and LAX-IP group.Axillary vein puncture was performed using DNTP technique and LAX-IP technique under ultrasound guidance in DNTP group and LAX-IP group, respectively.Successful puncture at first attempt, overall successful catheterization, the number of needle tip redirection, and axillary vein puncture time and catheterization time were recorded.The occurrence of complications such as axillary artery puncture, posterior wall penetration of axillary vein, hematoma formation, pneumothorax, and nerve injury was recorded. Results:Compared with group LAX-IP, the success rate of puncture at first attempt was significantly increased, the number of cases required needle redirection was decreased, and the puncture time was shortened ( P<0.05), and no significant change was found in the logarithm of the posterior wall penetration of axillary vein in group DNTP ( P>0.05). No complications such as arterial puncture, hematoma, pneumothorax, or nerve injury occurred in two groups. Conclusions:Compared with LAX-IP technique, ultrasound-guided DNTP technique can dynamically observe the position of the needle tip, the operation is simple and safe, and it is worthy of clinical promotion when used for axillary vein puncture and cannulation.
