Use of Bi-plane Mode of Transesophageal Echocardiography for Real Time Visualization and Cannulation of the Internal Jugular Vein: A Safe and effective Alternative
Use of Bi-plane Mode for IJV Cannulation
Background: To check feasibility and efficacy of biplane mode of the transesophageal echocardiography (TEE) probe for use of visualization and cannulation of internal jugular vein (IJV).Subjects and Methods:This is Prospective, randomized, controlled pilot study done at tertiary care hospital. Fifty adult cardiac surgery patients in current study received right IJV catheterization using the TEE probe. Another fifty patient undergone same IJV cannulation with use of linear probe. The puncture time, success rate in first attempt, quality of the imaging with needle tip positioning and wire positioning were recorded. The occurrence of complication or any adverse event was also observed.Results:There was statistical difference in puncture time between two groups. Puncture time was less in TEE group. One failed puncture attempt with linear probe was there. There was no statistical difference in image quality with needle tip positioning and wire positioning between groups. No complications or adverse events were observed in either group.Conclusion: The Bi-plane mode of TEE probe can be used for visualization and cannulation of IJV to achieve higher success rate and decrease chance of complication with favorable feasibility and safety.