Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgery
Abstract The formula-based estimation of the right internal jugular venous (IJV) catheterization depth can be inaccurate when using ultrasound guidance. External landmark-based and radiological landmark-based methods have been proposed as alternatives to estimate the insertion depth. This study aime...
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Nature Portfolio
2025-01-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-025-85906-2 |
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| author | Artid Samerchua Panuwat Lapisatepun Pattaranee Srichairatanakool Tanyong Pipanmekaporn Wariya Sukhupragarn Settapong Boonsri Nutchanart Bunchungmongkol Lalita Huntrakul |
| author_facet | Artid Samerchua Panuwat Lapisatepun Pattaranee Srichairatanakool Tanyong Pipanmekaporn Wariya Sukhupragarn Settapong Boonsri Nutchanart Bunchungmongkol Lalita Huntrakul |
| author_sort | Artid Samerchua |
| collection | DOAJ |
| description | Abstract The formula-based estimation of the right internal jugular venous (IJV) catheterization depth can be inaccurate when using ultrasound guidance. External landmark-based and radiological landmark-based methods have been proposed as alternatives to estimate the insertion depth. This study aimed to evaluate these methods using transesophageal echocardiography (TEE)-guided insertion depth as the reference. Ninety-seven adult cardiac surgery patients underwent real-time ultrasound-guided right IJV catheterization, with placement at the superior vena cava-right atrium (SVC-RA) junction under TEE guidance. The primary outcome compared the accuracy of external-landmark and radiological-landmark methods in estimating optimal catheter position (2 cm above to 1 cm below the SVC-RA junction), while secondary outcomes assessed their reliability and agreement with TEE. The external-landmark method proved more accurate than the radiological-landmark method (91.8% vs. 68%, p < 0.001) and had a higher correlation with TEE (r = 0.83 vs. 0.67). Bland–Altman analysis showed a mean difference of 0.08 cm between external-landmark and TEE methods (limits of agreement: -1.75 to 1.90 cm) and 0.43 cm for radiological-landmark (limits of agreement: -2.63 to 3.49 cm). Overall, the external-landmark method is a reliable and simple technique for estimating right IJV catheter depth and is more useful in cardiac surgery compared to the radiological-landmark method. Trial registration Thai Clinical Trials Registry (TCTR20200410012). Date registered April 9, 2020. |
| format | Article |
| id | doaj-art-a14d72d669a648749100a0c0b8a2c6b7 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-a14d72d669a648749100a0c0b8a2c6b72025-01-12T12:17:08ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-85906-2Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgeryArtid Samerchua0Panuwat Lapisatepun1Pattaranee Srichairatanakool2Tanyong Pipanmekaporn3Wariya Sukhupragarn4Settapong Boonsri5Nutchanart Bunchungmongkol6Lalita Huntrakul7Department of Anesthesiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai UniversityDepartment of Radiology, Faculty of Medicine, Chiang Mai UniversityAbstract The formula-based estimation of the right internal jugular venous (IJV) catheterization depth can be inaccurate when using ultrasound guidance. External landmark-based and radiological landmark-based methods have been proposed as alternatives to estimate the insertion depth. This study aimed to evaluate these methods using transesophageal echocardiography (TEE)-guided insertion depth as the reference. Ninety-seven adult cardiac surgery patients underwent real-time ultrasound-guided right IJV catheterization, with placement at the superior vena cava-right atrium (SVC-RA) junction under TEE guidance. The primary outcome compared the accuracy of external-landmark and radiological-landmark methods in estimating optimal catheter position (2 cm above to 1 cm below the SVC-RA junction), while secondary outcomes assessed their reliability and agreement with TEE. The external-landmark method proved more accurate than the radiological-landmark method (91.8% vs. 68%, p < 0.001) and had a higher correlation with TEE (r = 0.83 vs. 0.67). Bland–Altman analysis showed a mean difference of 0.08 cm between external-landmark and TEE methods (limits of agreement: -1.75 to 1.90 cm) and 0.43 cm for radiological-landmark (limits of agreement: -2.63 to 3.49 cm). Overall, the external-landmark method is a reliable and simple technique for estimating right IJV catheter depth and is more useful in cardiac surgery compared to the radiological-landmark method. Trial registration Thai Clinical Trials Registry (TCTR20200410012). Date registered April 9, 2020.https://doi.org/10.1038/s41598-025-85906-2Internal jugular veinCentral venous catheterTransesophageal echocardiographyAnesthesia |
| spellingShingle | Artid Samerchua Panuwat Lapisatepun Pattaranee Srichairatanakool Tanyong Pipanmekaporn Wariya Sukhupragarn Settapong Boonsri Nutchanart Bunchungmongkol Lalita Huntrakul Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgery Scientific Reports Internal jugular vein Central venous catheter Transesophageal echocardiography Anesthesia |
| title | Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgery |
| title_full | Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgery |
| title_fullStr | Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgery |
| title_full_unstemmed | Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgery |
| title_short | Evaluation of external and radiological landmark methods for optimizing ultrasound-guided right internal jugular venous catheterization depth in cardiac surgery |
| title_sort | evaluation of external and radiological landmark methods for optimizing ultrasound guided right internal jugular venous catheterization depth in cardiac surgery |
| topic | Internal jugular vein Central venous catheter Transesophageal echocardiography Anesthesia |
| url | https://doi.org/10.1038/s41598-025-85906-2 |
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