Abstract
Purpose
Recent guidelines for cardiopulmonary resuscitation emphasize that all rescuers should
minimize the interruption of chest compressions, even for intravenous access. We assessed
the utility of needle guides during ultrasound-guided central venous catheterization
(US-CVC) with chest compressions via simulation.
Methods
Twenty-five anesthesiologists with more than 2 years of experience performed US-CVC on a manikin with or without a needle guide and
with or without chest compressions. Insertion success rate within 2 minutes, insertion time, and subjective difficulty of venous puncture or guide wire
insertion were measured.
Results
In normal trials, 1 participant failed US-CVC without compressions, whereas 6 failed
with compressions (P = .04). In needle-guided trials, all participants succeeded without compressions, whereas
only 1 failed with compressions (P = .31). Insertion time was significantly longer with chest compressions in both normal
and needle-guided trials (P < .001, each). Ultrasound-guided central venous catheterization insertion time in normal
trials was significantly longer than in needle-guided trials with compressions (P < .001). Difficulty of operation on a visual analog scale for venous puncture or guide
wire insertion was significantly higher in normal trials than in needle-guided trials
with compressions.
Conclusion
Needle guides shortened the insertion time and improved the success rate of US-CVC
during chest compressions by anesthesiologists in simulations.
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Article Info
Publication History
Published online: February 16, 2016
Accepted:
February 12,
2016
Received:
December 30,
2015
Footnotes
☆Source of support: Institutional and departmental funding.
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
