Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Can you justify not using ultrasound guidance for central venous access? | Available online http content 10 6 175 Commentary Can you justify not using ultrasound guidance for central venous access Andrew R Bodenham Department of Anaesthesia Leeds General Infirmary Leeds LSI 3EX UK Corresponding author A R Bodenham Published 22 November 2006 This article is online at http eontent 10 6 175 2006 BioMed Central Ltd Critical Care 2006 10 175 doi cc5079 See related research by Karakitsos et al. http content 10 6 R162 Abstract Karakitsos and coworkers in this journal reported further compelling evidence on the value of ultrasound in guiding internal jugular vein catheterization. In a large prospective randomized study of 900 patients comparisons were made between patients in whom the procedure was performed using landmark-based techniques and those assigned to ultrasound guidance. The key benefits from use of ultrasound included reduction in needle puncture time increased overall success rate 100 versus 94 reduction in carotid puncture 1 versus 11 reduction in carotid haematoma versus reduction in haemothorax 0 versus decreased pneumothorax 0 versus and reduction in catheter-related infection 10 versus 16 . The implications of these findings are discussed and a compelling case for routine use of ultrasound to guide central venous access is made. Karakitsos and coworkers 1 in this journal reported further compelling evidence on the value of ultrasound in guiding internal jugular vein catheterization. Their work follows other series demonstrating similar results 2 3 . This study differs from previous studies for the following reasons. First it is much larger 900 patients prospective and randomized. Also comparisons were made between patients in whom the procedure was performed using landmark-based techniques following use of a small seeker needle and those in whom ultrasound guidance was utilized. Operators in both groups had significant experience in both .
