International journal of clinical practice
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Int. J. Clin. Pract. · Mar 2021
Randomized Controlled TrialComparison of External Jugular Vein based surface landmark approach and Ultrasound guided approach for Internal Jugular Venous cannulation: A randomized cross over clinical trial.
Historically, landmark techniques for central venous access through the internal jugular vein (IJV) have yielded a lesser success rate and higher complication rate than the ultrasound (US)-guided approach. The purpose of this study is to assess the success and safety of a novel external jugular vein (EJV)-based landmark (EJV-LM) approach compared with the real-time US-guided approach for central venous access through the IJV. ⋯ In patients with non-distorted neck anatomy and a visible EJV, IJV catheterisation using the EJV-based LM approach and standard US-guided technique yielded similar first-attempt and overall success rates. Cannulation time was longer and complications occurred more frequently in the EJV-based LM compared with the standard US-guided technique.
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Int. J. Clin. Pract. · Mar 2021
Randomized Controlled TrialErector spinae plane block vs. Nonsteroidal anti-inflammatory drugs for severe renal colic pain: a pilot clinical feasibility study.
Ultrasound-guided plane blocks are increasingly used in the multi-modal analgesic concept for reducing opioid consumption. The present study was conducted to compare the analgesic effect of intravenous non-steroidal anti-inflammatory drugs (NSAIDs) and erector spinae plane (ESP) block in renal colic patients. ⋯ ESP block can be an alternative, efficient and safe method for the relief of acute renal colic pain.