One-hand guidewire introducer kit for ultrasound-guided central venous catheterization: a proof-of-concept study

被引：0

作者：

Eo, Seung Jin ^{[1
,2
]}

Ryu, Dae Sung ^{[1
]}

Yun, Chae Eun ^{[1
,2
]}

Park, Yubeen ^{[1
,2
]}

Won, Dong-Sung ^{[1
]}

Kim, Ji Won ^{[1
]}

Kim, Song Hee ^{[1
]}

Park, Jung-Hoon ^{[1
,2
]}

Kim, Doo-Hwan ^{[3
]}

机构：

[1] Asan Inst Life Sci, Biomed Engn Res Ctr, Asan Med Ctr, 88 Olymp Ro 43-Gil, Seoul 05505, South Korea

[2] Univ Ulsan, Asan Med Ctr, Dept Convergence Med, Coll Med, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea

[3] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Anesthesiol & Pain Med, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea

来源：

SCIENTIFIC REPORTS | 2024年 / 14卷 / 01期

基金：

新加坡国家研究基金会;

关键词：

Central venous catheterization; Internal jugular vein; Ultrasound; One-hand guidewire introducer; NEEDLE; GUIDANCE; CANNULATION; COMPLICATIONS; ACCESS;

D O I：

10.1038/s41598-024-79784-3

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Despite ultrasound guidance for central venous catheterization (CVC), the first-attempt success rate has remained around 52.6-62.1%. A significant reason is that the needle can sometimes be dislodged from the punctured vein during hand shifts. Here, a novel one-hand guidewire introducer (OGI) kit was developed to perform guidewire insertion in the central vein, eliminating hand shifts. To establish a protocol, the OGI kit was validated using a central line training phantom. A total of 48 randomized trials of guidewire insertion in the internal jugular vein in eight pigs were performed using either the conventional kit (group A) or the OGI kit (group B). All trials were technically successful with all eight pigs. First-attempt success rate (50% vs. 75%, p = 0.035) and global rating scale (12 (5-15) vs. 14 (8-15), p = 0.011) were significantly lower in group A than in group B. The number of needle redirections and guidewire insertions, time to guidewire insertion, and procedure-related complications were significantly higher in group A than in group B. Guidewire insertion using a novel OGI kit could be a promising approach for real-time ultrasound-guided CVC as it offers greater clinical usefulness.

引用

页数：9

共 33 条

[1]

Ahmed F, 2023, Cogent Public Health, V10, DOI [10.1080/27707571.2023.2205713, 10.1080/27707571.2023.2205713]

[2] A randomized controlled clinical trial of real-time needle-guided ultrasound for internal jugular venous cannulation in a large university anesthesia department [J].