Longitudinal ultrasound images of guidewires placed in the internal jugular veins of children

Ultrasound detection of guidewires in‐plane during pediatric central venous catheterization

“…An earlier study showed that in 20 pediatric patients, the guidewires were visible in‐plane in all 11 patients whose C–P was more than 30 mm. In the current study, we acquired longitudinal guidewire images for all 32 children whose C–M was >59 mm and all 31 children whose C–P was >30 mm.…”

“…First, the thickness and width of the linear‐type probe used in this study were 16 and 53 mm, respectively. Image‐deficient areas have been found to exist within 15, 8.5, 7, and 6 mm from the edge of the probe toward the midline at depths of 20, 24, 28, and 33 mm, respectively . We generally use an observational depth of 20 or 24 mm for neonates and infants during puncture.…”

“…The detection of guidewires with ultrasound echo equipment has been found to be useful in both adult and pediatric central venous catheter (CVC) placement. To avoid arterial placement of the dilator and/or CVC, it is important to ensure that the guidewires are in the internal jugular vein (IJV) prior to inserting the dilators .…”