Research Article
Volume 5 Issue 4 - 2021
Comparison between Ultrasound Guided Vs Blind Central Line Insertion and Related Complications
Abdulaziz Osama Al Mufti, Mohammed K Alharbi*, Abduljabbar Qurashi, Mohammed Ismail, Ahmed Al Otaibi, Winnie Philip, Ibrahim Abdulmohsen Al Ojaimi, Badr Ahmed Al Shehri, Khalid Faisal Al Zahrani and Abdullah Salem Al Mutairi
Anesthesia Technology Department, King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia
*Corresponding Author: Mohammed K Alharbi, Anesthesia Technology Department, King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia.
Received: January 10, 2021; Published: March 16, 2021




Background: Central venous catheters (CVCs) are widely used nowadays in critically ill patients. Nonetheless, CVCs insertion involves a high risks that increases morbidity and even mortality. This study compares the success rates and complications between Ultrasound Guided and Blind Insertion of CVCs.

Objectives: To analyze the clinical outcomes of Central Venous Line Ultrasound guided insertions versus blind insertion.

Methods: A quantitative analytical cross sectional retrospective study was conducted at King Abdulaziz Medical City in July - September 2019. The data was collected from the BEST CARE system and the hospital medical files. All adult patients receiving CVCs between January 2015 and January 2018 were included in the study, excluding motor vehicle accident patients and those who are under 18 years of age. After applying the inclusion and exclusion criteria, the data was statistically analyzed using Statistical Package for the Social Sciences (SPSS).

Results: A total of 379 patients were included in the study. Out of 379 patients, Ultrasound guided technique was used among 190 (50.1%) patients and Blind Central line technique in 189 (49.9%) patients. In 186 (49.1%) patients the site of insertion was the Right Internal Jugular Vein. Complication was observed in 19.3% patients with the maximum for the Blind Central Line insertion technique (72.6%) and was statistically significant with p value 0.001. The number of attempted punctures was more for Blind insertion (52%) than with Ultrasound guided technique (48.1%) with a p value > 0.05.

Discussion and Conclusion: Using ultrasound guided insertion of central line has decreased the number of punctures and complication rates compared to blind insertion, and this will help increase success rate and patient safety.

 

Keywords: Central Venous Catheters (CVCs); Internal Jugular Vein; Subclavian Vein; Femoral Vein

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Citation: Mohammed K Alharbi., et al. “Comparison between Ultrasound Guided Vs Blind Central Line Insertion and Related Complications”. EC Emergency Medicine and Critical Care 5.4 (2021): 20-27.

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