Comparison of modified combined long and short axis versus oblique axis in plane method for ultrasound guided right internal jugular vein cannulation in adult patients -a one year randomised controlled trial

Abstract

Background: Among the different large veins that can be cannulated the right internal jugular vein (IJV) is most preferred for its straight course to the right side of the heart, lack of valves and ease of cannulation. Cannulation of the right IJV is most commonly done using the landmark guided central approach. It is associated with a higher risk of carotid puncture. In this context the oblique in plane approach has been found to be better and was associated with less complications. Objective: This study is being undertaken to find out which method is better Modified combined short and long axis method (MCSL) or Oblique axis in plane (OA-IP) method in terms of first attempt success rate for right Internal jugular vein (IJV) catheter placement.