A Controlled Comparison of Techniques for Locating the Internal Jugular Vein Using Ultrasonography

Metz, Samuel; Horrow, Jan C.; Balcar, I

doi:10.1213/00000539-198407000-00009

Cited by 52 publications

(29 citation statements)

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“…The 19% CA puncture rate using the central landmark approach is higher than that reported in the early papers (4%), but it is in the same range as that reported by Metz et al when comparing 15 techniques for localization of the IJV using ultrasound simulation. 5 In our opinion, there is an underestimation of CA punctures in the clinical setting, as many clinicians consider the puncture of the vessel with the locator needle insignificant, and they don't count it as an actual puncture. Clinical underreporting vs a thorough count using ultrasound may account for the difference between the original reports and this study's results.…”

Section: Discussionmentioning

confidence: 94%

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Ultrasound simulation of internal jugular vein cannulation in pregnant and non-pregnant women

Siddiqui

Goldszmidt

Haque

et al. 2010

Can J Anesth/J Can Anesth

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Background Pregnancy alters the anatomic landmarks for internal jugular vein (IJV) cannulation. In this study, IJV cannulation was simulated, and success of the technique was evaluated using ultrasound. Methods Term pregnant women and non-pregnant female volunteers were recruited. The degree of difficulty in assessing neck anatomy was noted. The optimal insertion points for cannulation were marked on the skin of each subject according to the central landmark and palpatory techniques. The midpoint of a 15-10 MHz linear transducer was placed over each insertion point, and the vertical cursor of the ultrasound, which represented the path of the needle, was placed in the image. The outcome was an IJV puncture, a carotid artery (CA) puncture, or a missed attempt. Results One hundred and sixty-one women, 99 pregnant and 62 non-pregnant, were studied. The identification of landmarks was more difficult in pregnant women (P = 0.01). The rates of successful IJV punctures, CA punctures, and missed attempts did not differ significantly between pregnant and non-pregnant women. Carotid artery punctures using the central landmark technique in pregnant and non-pregnant subjects were 19% and 10%, respectively. Corresponding figures for the palpatory approach were 6% and 3%, respectively. The degree of IJV overlap of the CA in the palpatory technique was greater in pregnant women (38% vs 18% showed [ 75% overlap; P \ 0.001), a difference that remained after controlling for body mass index Conclusion The IJV overlies the CA to a greater extent in pregnant patients than in non-pregnant patients. Thus, a landmark approach for IJV cannulation might expose pregnant women to a greater risk of carotid puncture. This trial was registered at www.clinicaltrials.gov (NCT T00464828).

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Section: Discussionmentioning

confidence: 94%

“…Recently, ultrasound has emerged as an alternative to the traditional methods of vessel localization for CVC. 4,5 Ultrasound also allows the procedure to be simulated, thus facilitating the study of this procedure in pregnant patients, in whom there is a low frequency of CVC.…”

Section: Résumémentioning

confidence: 99%

Ultrasound simulation of internal jugular vein cannulation in pregnant and non-pregnant women

Siddiqui

Goldszmidt

Haque

et al. 2010

Can J Anesth/J Can Anesth

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“…3,4 Whilst observation of the landmark technique was not an objective of the study, it provides a point of reference against which the ultrasoundguided techniques can be compared.…”

Section: 'Traditional' Landmark Techniquementioning

confidence: 99%

Techniques, Advantages, and Pitfalls of Ultrasound-Guided Internal Jugular Cannulation: A Qualitative Study

Shelton

Mort

Smith

2016

Journal of the Association for Vascular Access

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“…[25] wykazano, że średnia odległość od skóry do żyły szyjnej wewnętrznej wynosi 2,6 cm. W pracy Botha i wsp.…”

Section: Dostęp Do żYł Szyjnych Wewnętrznychunclassified

Metody uzyskiwania dostępu naczyniowego do żył centralnych dla potrzeb hemodializoterapii

Leś¹,

Wańkowicz²

2013

Anaesthesiol Intensive Ther

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The basic form of renal replacement therapy is haemodialysis. The duration and efficacy of this treatment depends on well-functioning vascular access. Short-term or long-term catheters are used if the arterial-venous fistula placement is not possible or not indicated. According to the recommendations of the NKF DOQI (National Kidney Foundation Disease Outcomes Quality Initiative), the first choice of access is the right internal jugular vein, and the next are the left internal jugular, femoral and subclavian vein. In this article, we present approaches to the abovementioned veins for haemodialysis cathether insertion as well as catheter tip positioning in the venous system to prevent serious complications.

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A Controlled Comparison of Techniques for Locating the Internal Jugular Vein Using Ultrasonography

Cited by 52 publications

References 0 publications

Ultrasound simulation of internal jugular vein cannulation in pregnant and non-pregnant women

Ultrasound simulation of internal jugular vein cannulation in pregnant and non-pregnant women

Techniques, Advantages, and Pitfalls of Ultrasound-Guided Internal Jugular Cannulation: A Qualitative Study

Metody uzyskiwania dostępu naczyniowego do żył centralnych dla potrzeb hemodializoterapii

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