Complications of percutaneous punctures of the jugular vein
The relevance of practice to master the method
A study investigated factors influencing the success rate and complications of percutaneous punctures of the jugular vein. The results concluded that when the ultrasound-guided method was applied, the personal experience level of the performing physician was not a determining factor in the final outcome of the procedure. However, when the physician acting as the ultrasonographer was already familiar with the technique, not only were failure and complication rates significantly lower, but the technique also showed higher success rates. Patient-dependent variables were also analyzed but did not have as much influence as the variables dependent on the professional performing the procedure, as mentioned earlier.
Studies like these demonstrate the relevance of practice to master the method. A reliable ultrasound guidance, providing accurate representations of the conditions of the structures, with simultaneous and uninterrupted visualization of the needle and vessel, can make all the difference in the success of an ultrasound-guided procedure. Professional training based on simulators that allow you to practice your skills with freedom and safety is the best way to succeed in performing medical procedures.
MEY, U. et al. Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients. Supportive care in cancer, v. 11, n. 3, p. 148-155, 2003.