• Prajakta D Shinde, Amish Jasapara, Kishan Bansode, Rohit Bunage, Anvay Mulay, and Vijay L Shetty.
• Department of Anaesthesiology and Cardiac Surgery, Fortis Hospital, Mumbai, Maharashtra, India.
• Ann Card Anaesth. 2019 Apr 1; 22 (2): 177-186.

BackgroundUltrasound (US)-guided internal jugular vein (IJV) cannulation is a widely accepted standard procedure. The axillary vein (AV) in comparison to the subclavian vein is easily visualized, but its cannulation is not extensively studied in cardiac patients.AimsThis study is an attempt to study the efficacy of real-time US-guided axillary venous cannulation as a safe alternative for the time-tested US-guided IJV cannulation.DesignThis is a prospective randomized controlled study.Materials And MethodsA total of 100 adult patients scheduled for cardiac surgery were divided equally in Group A-US-guided IJV cannulation, and Group B-US-guided axillary venous cannulation. Under local anesthesia and real-time US guidance the IJV or AV was secured. The access time, guidewire time, and procedure time were noted. Furthermore, the number of needle attempts, malposition, change of site, and complications were noted.ResultsThe data were analyzed for 49 patients in Group A and 48 patients in the Group B due to exclusions. The access time and the guidewire time were comparable in both groups. The first attempt needle puncture was successful for the IJV group in 98% of patients in comparison to 95% of patients in Group B. Guidewire was passed in the first attempt in 94% in Group A and 89% in the Group B. Except for arterial puncture in one case in group A, the complications were insignificant in both groups.ConclusionThe study shows that the US-guided AV cannulation may serve as an effective alternative to the IJV cannulation in cardiac surgery.

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