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Khirurgii

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Year 2009 Vol. 17 No 2

ANESTHESIOLOGY-REANIMATOLOGY

BOLONKIN L.S., FEDORUK A.M., DZYADZKO A.M., SANTOTSKY E.O., MINOV A.F., ZAYTSEV YU.V., KHARKOV D.P., YURLEVICH D.I.

ULTRASOUND-GUIDED TECHNIQUE AT CENTRAL VEINS CANNULATION

Traditional cannulation (without ultrasound guidance) is often (5–20%) associated with several dangerous complications. Patients with liver disease have higher risk of complications due to coagulation disturbances. We have presented our first experience of 32 successful central vein catheterizations in the patients with cirrhosis including 8 patients to whom central vein catheter has been inserted directly before liver transplantation. Economic benefits based on experience of foreign authors are given. Advantages of ultrasound technique over traditional approach have been pointed out. It seems reasonable to train anesthesiologists in ultrasound imaging of the vessels and ultrasound guidance for central vein cannulation. In the future the role of ultrasound-guided technique should be assessed in lowering rate of late complications such as thrombotic or/and infectious.

Keywords: central vein, central vein cannulation, complications, ultrasound imaging
p. 91 - 97 of the original issue
References
  1. Complications and failures of subclavian-vein catheterization / P. F. Mansfield [et al.] // N. Engl. J. Med. – 1994. – Vol. 331. – Ð. 1735-1738.
  2. French Catheter Study Group in Intensive Care. Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial / J. Merrer [et al.] // JAMA. – 2001. – Vol. 286. – Ð. 700-707.
  3. Central vein catheterization. Failure and complication rates by three percutaneous approaches / J. I. Sznajder [et al.] // Arch. Intern. Med. – 1986. – Vol. 146. – Ð. 259-261.
  4. Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature / A. G. Randolph [et al.] // Crit. Care Med. – 1996. – Vol. 24. – Ð. 2053-2058.
  5. National Institute for Clinical Excellence. Guidance on the use of ultrasound locating devices for placing central venous catheters. Technology Appraisal Guidance n°49 [Electronic resourse]. – 2004. – Mode of access: http: www. nice org. uk.
  6. Ultrasonic locating devices for central venous cannulation: meta-analysis / D. Hind [et al.] // BMJ. – 2003. – Vol. 327. – Ð. 361.
  7. Prevention des complications de l’abord veineux jugulaire interne par reperage echographique / A. Tesniere [et al.] // Ann. Fr. Anesth. Reanim. – 2003. – Ð. 22. – Abstr.
  8. Villiers, S. Interet des ultrasons lors de la mise en place percutanee par voie jugulaire interne de dispositifs veineux de longue duree / S. Villiers, M. C. Douard, J-P. Tarot // 4eme Congres sur les Dispositifs Intraveineux de Longue Duree. – Paris, 2004. – Abstr.
  9. Catheterisme veineux central de longue duree. Analyse des complications immediates de 2896 catheters consecutifs poses pendant 2 ans. / M. C. Douard [et al.] // Ann. Fr. Anesth. Reanim. – 1995. – Ð. 14. – Abstr.
  10. Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients / U. Mey [et al.] // Support Care Cancer. – 2003. – Vol. 11. – Ð. 148-155.
  11. Desruennes, Eric. L’utilisation de l’echographie pour la mise en place de catheters veineux centraux / Eric Desruennes, Marie-Cecile Douard // MAPAR (Paris). – 2005. – Ð. 411-416.
  12. Ultrasound for central venous cannulation: economic evaluation of cost-effectiveness / N. Calvert [et al.] // Anaesthesia. – 2004. – Vol. 59. – Ð. 1116-1120.
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