Percutaneous Ultrasound-guided Central Venous Catheters: The Lateral In-plane Technique for Internal Jugular Vein Access

Abstract

The lateral short axis in-plane technique should be considered the first-line technique for IJV cannulation.

Vascular access for hemodialysis: current perspectives

“…52 There are two different main approaches, according to the visualization of the needle during its entry into the vein, using ultrasound guidance: in-plane and out-of-plane, placing the probe on the vein long axis or short axis. Recently, it has been shown that the lateral short axis in-plane technique has virtually no limitations, ensuring most benefits, and for this 53 The common method for direct insertion into the great veins is the Seldinger technique, using a guidewire over the needle. With this technique after the vein is entered, the guidewire is advanced into the vein and the needle is removed.…”

Methods of Increasing the Safety of Catheterization of the Internal Jugular Vein During Hypovolemia

“…Известны два доступа для пункции ВЯВ: централь-ный и латеральный (задний) [3,11]. Традиционно в клинических рекомендациях представлено описа-ние центрального доступа.…”

“…Традиционно в клинических рекомендациях представлено описа-ние центрального доступа. В то же время известны результаты исследований, свидетельствующие о преимуществе латерального доступа при установке перманентного диализного катетера у пациентов с почечной недостаточностью [11]. Следует отметить, что для пациентов данной группы характерно от-сутствие признаков гиповолемии.…”

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

“…25,[34][35][36][37] Unfortunately the in-plane ultrasound technique is technically demanding and a change to this technique may represent an unrealistic expectation given the training burden it would represent. 38 The pragmatic recommendation is therefore to ensure that training in internal jugular cannulation does not present ultrasound-guidance as a panacea, but recognises and attempts to mitigate the potential for harm when using this technology in different ways.…”