The Effectiveness of Real-Time Ultrasound-Guided Central Venous Catheterization:A Comparison with the Landmark Technique in Jordanian Patients

摘要

Real-time ultrasound-guided Central Venous Catheterization (CVC) has been demonstrated to reduceinsertion and procedure time as well as having less complications when compared to the landmark-guidedtechnique. This technique was newly introduced to Jordan University Hospital (JUH) and the aim of this studyis to report our experience in both techniques. Medical records of 203 patients who needed central venouscatheterization in the JUH between May, 2016 and May, 2017 were reviewed. The ultrasound-guided groupincluded 102 patients while the landmark-guided group included 101 patients. The duration of catheterinsertion, procedure duration and complications were considered. The average number of catheterizationattempts in the ultrasound-guided group was significantly less when compared with the landmark-guided group(p<0.001). Furthermore, the duration of insertion and the duration of the procedure were both significantlyshorter in the ultrasound-guided group compared to the landmark group (p<0.001 for both). Carotid arterypunctures and hematoma formation were also significantly less in the ultrasound-guided group compared withthe landmark group (p = 0.019). The ultrasound-guided method for central venous catheterization couldincrease the efficiency and reduce medical complications which justifies the costs of implementing thistechnique.