Full
Outline
To compare the effects and safety of ultrasound-guided internal jugular venous puncture and femoral venous puncture in clinical elderly patients, and provide a reference for clinicians to choose the best puncture method.
Clinical data of 179 elderly critically ill patients who underwent central venous catheterization at Shanghai Donghai Senior Nursing Hospital from January 2023 to October 2025 were retrospectively collected. All patients were divided into internal jugular vein group (n=89) and femoral vein group (n=90) according to different puncture approaches. Multiple indicators were compared between the two groups, including anteroposterior diameter of vascular lumen, cross-sectional area, needle insertion length, puncture time, one-time puncture success rate, and incidence of catheter-related complications.
The anteroposterior luminal diameter was (7.69±1.61) mm in the internal jugular vein group, significantly longer than (7.04±1.06) mm in the femoral vein group (P<0.01). The vascular cross-sectional area of the internal jugular vein group was (86.25±29.55) mm2, which was larger than (78.39±13.11) mm2 in the femoral vein group (P=0.02). The needle insertion length was (41.56±6.16) mm in the internal jugular vein group, shorter than (47.67±6.27) mm in the femoral vein group (P<0.01). The puncture time in the internal jugular vein group was (14.20±1.99) min, which was significantly shorter than (18.86±2.49) min in the femoral vein group (P<0.01). The one-time puncture success rate reached 93.26% in the internal jugular vein group, obviously higher than 66.67% in the femoral vein group (P<0.01). Meanwhile, the incidence of puncture-related complications was 8.99% in the internal jugular vein group, markedly lower than 18.89% in the femoral vein group (P<0.01).
Ultrasound-guided internal jugular vein catheterization in elderly critically ill patients can effectively shorten puncture time and needle insertion length, improve the one-time puncture success rate, reduce the incidence of complications, with high safety, which is worthy of clinical promotion and application.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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