An analysis on success rate and safety of the MST in jugular vein catheterization under ultrasound-guided / 中国医学装备

ABSTRACT

Objective: To investigate the success rate and safety of modified Seldinger technique (MST) in implementing jugular vein catheterization under ultrasound-guided. Methods: 300 patients who prepared to receive jugular vein catheterization were divided into observation group (n=150 ) and control group (n=150). The patients of observation group were implemented jugular vein catheterization by using MST under ultrasound-guided, and that of control group were implemented conventional technique to achieve jugular vein catheterization. The effect of jugular vein catheterization, complication and satisfaction of patients between the two groups were compared and researched. Results: The success rates of catheterization in one time and total catheterization of observation group were significantly higher than that of control group (t=4.925, t=4.623, P<0.05). The puncture time of observation group was significantly lower than that of the control group (t=10.432, P<0.05). The incidences of bleeding at puncture point, phlebitis, catheter-related infection, and blocked catheter of the observation group were significantly lower than those of the control group (t=5.684, t=5.556, t=4.623, t=4.624, P<0.05), respectively. For puncture, the satisfaction of patients of observation group was significantly higher than that of control group (Z=-2.734, P<0.05). Besides, the incidence of venous thrombosis and unplanned extubation of the observation group was not significant difference with that of the control group. Conclusion:The jugular vein catheterization by using MST under ultrasound-guided can significantly increase the success rate of catheterization, reduce puncture complications and enhance satisfaction of patient.