CASE REPORT / SHORT REPORT   Open

Italian Journal of Emergency Medicine 2020 April;9(1):62-4

DOI: 10.23736/S2532-1285.20.00014-2

Copyright © 2020 THE AUTHORS

This is an open access article under the CC BY-NC-ND license

lingua: Inglese

Use of jugular catheter JLB® as introducer for central venous catheterization in emergency conditions

Lucio BRUGIONI ¹ ✉, Angelo TRICOLI ², Mirko RAVAZZINI ², Francesca MORI ², Mario ANGELINI ², Chiara CATENA ², Matteo NICOLINI ³, Pietro MARTELLA ¹, Andrea BORSATTI ¹, Roberta GELMINI ⁴, Filippo SCHEPIS ⁵, Marcello BIANCHINI ⁵, Massimo GIRARDIS ⁶, Elisabetta BERTELLINI ³

¹ Unit of Internal Medicine and Critical Area, AOU Polyclinic of Modena, Modena, Italy; ² Department of Emergency Medicine, University of Modena and Reggio Emilia, Modena, Italy; ³ Department of Anesthesia and Resuscitation, AOU Modena - OC Baggiovara, Modena, Italy; ⁴ Department of General Surgery, AOU Polyclinic of Modena, Modena, Italy; ⁵ Department of Gastroenterology, AOU Polyclinic of Modena, Modena, Italy; ⁶ Department of Anesthesia and Resuscitation, AOU Polyclinic of Modena, Modena, Italy

The use of central venous catheterization (CVC) is now a routine clinical practice in critical patient but the insertion technique is not risk-free. The most common complications are failure to place the CVC or improper positioning, accidental artery puncture, PNX, hematoma, hemothorax, cardiac arrhythmias, cardiac arrest. Our study focused on this problem, trying to limit these complications with the help of the JLB® jugular catheter used as an introducer. The study was carried out within the gastroenterological hemodynamic unit of Policlinic hospital of Modena between July 2015 and March 2019, in a total of 110 cases subjected to hemodynamic procedures using the JLB® catheter as introducer. The positioning of the JLB® device was carried out in the internal jugular vein by physicians or by resident doctors in Emergency Medicine or Gastroenterology, with varying degrees of experience in the JLB® positioning technique. The confidence rate in CVC positioning technique was also considered. The positioning of the JLB as an introducer was carried out in 100% of cases. There were no early complications in any case. The limited number of patients on which this study was carried out does not allow definitive conclusions to be made, but the first data collected are extremely comforting and we can say that the use of the JLB® device as an introducer with over the needle technique allows to minimize the risks of early complications, particularly in clinical emergency conditions.

KEY WORDS: Catheters; Catheterization, central venous; Jugular veins