Background: Internal jugular vein cannulation is a common procedure performed in various clinical settings. The choice of technique for cannulation can significantly impact the success rate and safety of the procedure. This study aimed to compare the efficacy of internal jugular vein cannulation using the traditional anatomical landmark technique and the modern ultrasonograph technique. Materials and Methods: A prospective, randomized controlled trial was conducted in a tertiary care hospital. A total of 150 adult patients requiring internal jugular vein cannulation were enrolled in the study. They were randomly divided into two groups: Group A underwent cannulation using the anatomical landmark technique, while Group B underwent cannulation using the ultrasonograph technique. The primary outcome measures included the success rate of cannulation, number of attempts, time to successful cannulation, and incidence of complications. Results: In Group A (anatomical landmark technique), the success rate of cannulation was 74%, with an average of 2.3 attempts required per patient. The average time to successful cannulation was 4.8 minutes, and complications occurred in 12% of cases. In contrast, in Group B (ultrasonograph technique), the success rate was significantly higher at 94%, with an average of 1.2 attempts per patient. The average time to successful cannulation was reduced to 2.6 minutes, and complications occurred in only 3% of cases. These differences were statistically significant (p < 0.05). Conclusion: The ultrasonograph technique for internal jugular vein cannulation demonstrated superior efficacy compared to the anatomical landmark technique. It resulted in a higher success rate, fewer attempts, shorter time to successful cannulation, and a lower incidence of complications. Incorporating ultrasound guidance into clinical practice for this procedure can improve patient outcomes and enhance the safety and efficiency of internal jugular vein cannulation.

Background: Internal jugular vein cannulation is a common procedure performed in various clinical settings. The choice of technique for cannulation can significantly impact the success rate and safety of the procedure. This study aimed to compare the efficacy of internal jugular vein cannulation using the traditional anatomical landmark technique and the modern ultrasonograph technique. Materials and Methods: A prospective, randomized controlled trial was conducted in a tertiary care hospital. A total of 150 adult patients requiring internal jugular vein cannulation were enrolled in the study. They were randomly divided into two groups: Group A underwent cannulation using the anatomical landmark technique, while Group B underwent cannulation using the ultrasonograph technique. The primary outcome measures included the success rate of cannulation, number of attempts, time to successful cannulation, and incidence of complications. Results: In Group A (anatomical landmark technique), the success rate of cannulation was 74%, with an average of 2.3 attempts required per patient. The average time to successful cannulation was 4.8 minutes, and complications occurred in 12% of cases. In contrast, in Group B (ultrasonograph technique), the success rate was significantly higher at 94%, with an average of 1.2 attempts per patient. The average time to successful cannulation was reduced to 2.6 minutes, and complications occurred in only 3% of cases. These differences were statistically significant (p < 0.05). Conclusion: The ultrasonograph technique for internal jugular vein cannulation demonstrated superior efficacy compared to the anatomical landmark technique. It resulted in a higher success rate, fewer attempts, shorter time to successful cannulation, and a lower incidence of complications. Incorporating ultrasound guidance into clinical practice for this procedure can improve patient outcomes and enhance the safety and efficiency of internal jugular vein cannulation.