Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization (Review) Brass P,Hellmich M, Kolodziej L, Schick G, Smith AF This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2015, Issue 1 http://www.thecochranelibrary.com Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization (Review) Copyright © 2015 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. TABLE OF CONTENTS HEADER....................................... 1 ABSTRACT ...................................... 1 PLAINLANGUAGESUMMARY . 2 SUMMARY OF FINDINGS FOR THE MAIN COMPARISON . ..... 4 BACKGROUND .................................... 8 OBJECTIVES ..................................... 9 METHODS ...................................... 10 RESULTS....................................... 14 Figure1. ..................................... 15 Figure2. ..................................... 18 Figure3. ..................................... 19 Figure4. ..................................... 22 Figure5. ..................................... 23 ADDITIONALSUMMARYOFFINDINGS . 27 DISCUSSION ..................................... 30 AUTHORS’CONCLUSIONS . 33 ACKNOWLEDGEMENTS . 34 REFERENCES ..................................... 34 CHARACTERISTICSOFSTUDIES . 41 DATAANDANALYSES. 112 Analysis 1.1. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 1 Complication rate total. ............... 133 Analysis 1.2. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 2 Overall success rate. ............ 134 Analysis 1.3. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 3 Number of attempts until success. ............... 136 Analysis 1.4. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 4 Arterial puncture. ............ 137 Analysis 1.5. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 5 Haematoma formation. ............. 139 Analysis 1.6. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 6 Other complications (thrombosis, embolism, haematomediastinum and hydromediastinum, haematothorax and hydrothorax, pneumothorax, subcutaneous emphysema, nerve injury). 140 Analysis 1.7. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 7 Time to successful cannulation. ................ 141 Analysis 1.8. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 8 Success with attempt number 1 . ............... 144 Analysis 1.9. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 9 Success with attempt number 2. ............... 146 Analysis 1.10. Comparison 1 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 10 Success with attempt number 3. ............... 147 Analysis 2.1. Comparison 2 Doppler guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 1 Complication rate total. ............... 148 Analysis 2.2. Comparison 2 Doppler guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 2 Overall success rate. ............ 149 Analysis 2.3. Comparison 2 Doppler guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 3 Number of attempts until success. ............... 150 Analysis 2.4. Comparison 2 Doppler guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 4 Arterial puncture. ............ 151 Analysis 2.5. Comparison 2 Doppler guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 5 Time to successful cannulation. ................ 152 Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization (Review) i Copyright © 2015 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Analysis 2.6. Comparison 2 Doppler guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization, Outcome 6 Success with attempt number 1. ............... 153 Analysis 3.1. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 1 Complication rate total. ............... 154 Analysis 3.2. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 2 Overall success rate. ................. 155 Analysis 3.3. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 3 Number of attempts until success. 157 Analysis 3.4. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 4 Arterial puncture. ................. 158 Analysis 3.5. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 5 Haematoma formation................. 159 Analysis 3.6. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 6 Other complications (thrombosis, embolism, haematomediastinum and hydromediastinum, haematothorax and hydrothorax, pneumothorax, subcutaneous emphysema, nerve injury). 161 Analysis 3.7. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 7 Time to successful cannulation. 162 Analysis 3.8. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 8 Success with attempt number1. ............ 164 Analysis 3.9. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 9 Success with attempt number2.. 166 Analysis 3.10. Comparison 3 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in adults, Outcome 10 Success with attempt number 3. 167 Analysis 4.1. Comparison 4 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in children, Outcome 1 Complication rate total................ 168 Analysis 4.2. Comparison 4 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in children, Outcome 2 Overall success rate. ................ 169 Analysis 4.3. Comparison 4 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in children, Outcome 3 Number of attempts until success. 170 Analysis 4.4. Comparison 4 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in children, Outcome 4 Arterial puncture. ................. 171 Analysis 4.5. Comparison 4 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in children, Outcome 5 Other complications (thrombosis, embolism, haematomediastinum and hydromediastinum, haematothorax and hydrothorax, pneumothorax, subcutaneous emphysema, nerve injury). 172 Analysis 4.6. Comparison 4 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization in children, Outcome 6 Time to successful cannulation. 173 Analysis 5.1. Comparison 5 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization and inexperienced operators, Outcome 1 Complication rate total. 174 Analysis 5.2. Comparison 5 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization and inexperienced operators, Outcome 2 Overall success rate. 175 Analysis 5.3. Comparison 5 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization and inexperienced operators, Outcome 3 Number of attempts until success. 176 Analysis 5.4. Comparison 5 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization and inexperienced operators, Outcome 4 Time to successful cannulation. 178 Analysis 6.1. Comparison 6 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization and experienced operators, Outcome 1 Complication rate total. 180 Analysis 6.2. Comparison 6 Ultrasound guidance vs anatomical landmarks for internal jugular vein cannulation for central vein catheterization