Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts

Radmilo J. Jankovic, Marija S. Pavlovic, Miodrag M. Stojanovic, Biljana S. Stosic, Dragan J. Milic, Nebojsa S. Ignjatovic, Angelina N. Bogicevic, Dragana R. Djordjevic, Nenad N. Savic
2011 Medical Principles and Practice  
anesthesia (OR = 15.75; 95% CI = 1.83-135.1; p = 0.019). CAP was more likely to happen during left-sided than right-sided IJVCA (OR = 5.98; 95% CI = 1.29-27.59; p = 0.022). In addition, left-sided attempts considerably increased the risk for multiple cannulation attempts (OR = 2.782; 95% CI = 1.342-3.965; p ! 0.01). Also, manifold cannulation attempts were more frequent if the IJVCA was performed before induction of anesthesia (OR = 4.219; CI = 1.579-11.271; p = 0.004). Conclusions: Our results
more » ... usions: Our results strongly suggest that left-sided, multiple IJVCAs, performed under emergency conditions in conscious patients in the operating room, represent considerable risks for possible CAP.
doi:10.1159/000329788 pmid:21986016 fatcat:wjsv3bv5pndw7bpllw7vuz3wei