Use of Ultrasound to Evaluate Internal Jugular Vein Anatomy and to Facilitate Central Venous Cannulation in Paediatric Patients

Alderson, Priscilla; Burrows, Frederick A.; Stemp, Leo I.; Holtby, Helen

doi:10.1097/00132586-199402000-00051

Cited by 84 publications

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“…We believe that this parameter is important to avoid injury to adjacent structures, because the RIJV is very superficial. Alderson et al [10] reported a correlation between RIJV depth and patient weight, similar to that observed in our study population.…”

Section: Discussionsupporting

confidence: 91%

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Vascular assessment of the right internal jugular vein in low birth weight newborns

Montes-Tapia

Rodríguez-Taméz

Hernández-Garduño

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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Objective: To determine the dimensions and depth of the right internal jugular vein (RIJV) in low birth weight newborns by ultrasound and assess the differences in weight and determine the relationship of the vein with the carotid artery. Method: We performed a vascular assessment of the RIJV in 100 low birth weight newborns. The subjects were divided into three groups, low birth weight (LBW) newborns, 52500 g; very low birth weight (VLBW) newborns, 51500 g; and extremely low birth weight (ELBW) newborns 51000 g. Results: Of the newborns, 39% had LBW, 33% had VLBW, and 28% had ELBW. The medians were gestational age 31 weeks, weight 1300 g, anteroposterior diameter of the RIJV 2.2 mm, and the distance from the skin-RIJV 3.6 mm. In LBW newborns, the median anteroposterior diameter of RIJV was 2.7 mm; in LBW newborns 2.2; in ELBW newborns 1.9 (p50.001); the median distance from skin to RIJV for LBW newborns was 4.1 mm; for VLBW newborns, 3.6 and for ELBW newborns 2.9 (p50.01); differences that were statistically significant. Conclusions: In low birth weight newborns, the diameter and depth of the RIJV is directly proportional to the weight of the subjects studied.

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Section: Discussionsupporting

confidence: 91%

“…An increase in overlapping of the RIJV and the CA has been reported in 79-86% when rotating the head from the neutral position to 45 -60 suggesting a greater likelihood of puncture of the CA [10,12].…”

Section: Discussionmentioning

confidence: 98%

Vascular assessment of the right internal jugular vein in low birth weight newborns

Montes-Tapia

Rodríguez-Taméz

Hernández-Garduño

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

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“…[15][16][17][18][19][20] This study took various anthropometric measurements, anatomical considerations & biochemical parameters into considerations. As suggested by Thomas Surez et al 21 the knowledge of anatomy of neck is vital and the relationship of the IJV to the sternocleidomastoid muscle and CA is the key for understanding the position of the vein in the neck.…”

Section: Discussionmentioning

confidence: 99%

“…The specific anatomical relationship between the internal jugular vein and carotid artery has previously been well elucidated by Troinos et al 3 and others. P J Alderson et al 4 study revealed that internal jugular vein catheterisation is difficult in morbidly obese patients, in whom the landmarks of the neck are obscured. Also, the insertion of central venous lines is not without hazard and carries the potential for serious complications.…”

Section: Introductionmentioning

confidence: 99%

A study on complications in land mark technique catheterization of internal jugular vein

Havaldar

Shaik

2015

Int J Res Med Sci

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INTRODUCTIONThe traditional methods of using anatomic landmarks to guide cannulation of the IJV have yielded various rates of successful access and complications. Moreover, central venous catheterization requires considerable expertise. Paul F. Mansfield et al. 1 showed that femoral catheterization had more mechanical complications of arterial puncture and hematoma, and catheter related infections were high and were grossly contaminated in inguinal region. The mechanical complication in subclavian vein catheterisation was severe pneumothorax and was less likely to be tolerated in severe hypoxemic patients necessitating avoidance in them. Pat O. Daily et al. 2 showed that internal jugular vein could easily be identified by anatomical position in the neck, usually positioned in intimate contact, and laterally and anteriorly to the carotid artery. Hence, the essential anatomical landmarks are the sternal and clavicular attachments of sternocleidomastoid muscle and the clavicle forming a triangle with internal jugular vein located in the groove between the two portions of sternocleidomastoid muscle. The specific anatomical relationship between the internal jugular vein and carotid artery has previously been well elucidated by Troinos et al. 3 and others. P J Alderson et al. 4 study revealed that internal jugular vein catheterisation is difficult in morbidly obese patients, in whom the landmarks of the neck are obscured. Also, the insertion of central venous lines is not without hazard and carries the potential for serious complications. The ABSTRACT Background: The traditional methods of using anatomic landmarks to guide cannulation of the IJV have yielded various rates of successful access and complications. Moreover, central venous catheterization requires considerable expertise. Cannulation of the IJV was first described in 1969. Various positions were used to access cannulation but they were frequently associated with complications such as arterial puncture, pneumothorax, neurological damage, infection, dysrhythmias, atrial thrombus, cardiac rupture. Methods: Thirty critical care patients were selected for IJV cannulation either by Land mark technique. This study conducted in department of anaesthesiology and critical care, M. S. Ramaiah medical college, Bangalore. India. Results: In our study there was 83.3% success in LMG technique. The mean access time was 323.23 ± 146.19 sec and the distribution of complications encountered during the study, Carotid artery was accidentally punctured in 1 (3.3%) cases. In LMG technique, there were no cases of arrhythmias, haematoma, pneumothorax, haemothorax, nerve injury and catheter malposition were noted during the study. Conclusion: Land mark technique catheterization of internal jugular vein was shown complications than newly developed ultrasound guided method.

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“…Carotid arteries located posteriorly to the internal jugular vein are more prone to puncturing during CVC, being found with varying frequency according to the literature, apparently depending on the age group and as much as 10% in pediatric patients [20] and 54% in adults [21].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided Central Venous Catheterization: A Protocol to Be Followed in Pediatrics?

Marques¹,

Cesar²

2017

OJPed

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Objective: To investigate the effectiveness of ultrasound-guided central venous catheterization when compared to the conventional procedure. Method: A prospective cohort study was carried out over a 9-month period from February to October 2016 involving 144 inpatients at PICU of Irmandade da Santa Casa de São Paulo Hospital, undergoing central venous catheterization. The patients were matched in pairs of identical patients according to the levels of potentially intervening variables (age, nutritional status, puncture site, professional experience), differing only as to the CVC technique: ultrasound-guided (USG-CVC) or conventional (C-CVC). Discarding data from non-paired patients, the remaining did forming 47 pairs, matched as two related samples: USG-CVC and C-CVC groups. Success parameters: number of puncture attempts; time spent at CVC; success rate and complications. Results: In the USG-CVC group, the number of attempts (mean = 2.04) and the time spent at catheterization (mean = 11.89 minutes) were lower (t = 2.34, df = 46, t 0.95 = 2.02, p < 0.05) and (t = 3.07, df = 46, t 0.95 = 2.02, p < 0.05), respectively, when compared to the results obtained for the control group (C-GVC), (mean = 3.21) and (mean = 28.26 minutes), respectively. As to success, there was observed a significant difference (F (1, 46) = 16.6; Q (1) = 12.5, p < 005) when considering only one trial (USG -CVC = 27/47; C-CVC = 9/47), but no significant difference (F (1, 46) = 3.76; Q (1) = 3.56, p > 0.05) when considering several attempts. Complications were found less frequently in the USG-CVC group (3/47) than in the CVC-C (13/47), (F (1, 46) = 8.24; Q (1) = 7.14, p < 0.05). Conclusion: USG-CVC was found to be more effective than the conventional technique, especially regarding success at the first puncture attempt.

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Use of Ultrasound to Evaluate Internal Jugular Vein Anatomy and to Facilitate Central Venous Cannulation in Paediatric Patients

Cited by 84 publications

References 0 publications

Vascular assessment of the right internal jugular vein in low birth weight newborns

Vascular assessment of the right internal jugular vein in low birth weight newborns

A study on complications in land mark technique catheterization of internal jugular vein

Ultrasound-Guided Central Venous Catheterization: A Protocol to Be Followed in Pediatrics?

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