Optimal head rotation and puncture site for internal jugular vein cannulation after laryngeal mask airway insertion

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Optimal head rotation and puncture site for internal jugular vein cannulation after laryngeal mask airway insertion.

INTRODUCTION We studied the effect of head rotation on the relative position of the right common carotid artery (CCA) and the right internal jugular vein (IJV) in patients with laryngeal mask airway (LMA) insertion to evaluate the accuracy of anatomical landmarks for right IJV cannulation. METHODS We simulated needle insertion to the right IJV on sonograms via the central landmark approach an...

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Head rotation during internal jugular vein cannulation and the risk of carotid artery puncture.

We undertook a prospective laboratory study to examine the effect of head position on the relative positions of the carotid artery and the internal jugular vein (IJV). Volunteers (n = 12) from departmental staff, 18-60 yr of age, who had never undergone cannulation of the IJV underwent imaging of their IJV and carotid artery. With the subject in a 15 degrees Trendelenburg position, two-dimensio...

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Cannulation of internal jugular vein in neutral head position.

An approach to cannulate right internal jugular vein in neutral head position is described for situations where head rotation and extension are contraindicated. Venous puncture was made immediately lateral to the carotid artery at the level of cricoid cartilage and directed caudad. In 40 patients studied, the right internal jugular vein of 97.5% of the patients were successfully located by the ...

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Ultrasound-guided internal jugular vein cannulation.

N Engl J Med 2010;362:e57. Copyright © 2010 Massachusetts Medical Society. overview Traditionally, internal jugular vein cannulation has been performed with the use of external anatomical landmarks and palpation to guide insertion of the needle into the vessel. However, depending on the operator’s experience and the patient’s anatomy, this procedure may be difficult or unsuccessful. Over the pa...

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[Percutaneous cannulation of the internal jugular vein].

Two simple techniques for central venous cannulation by percutaneous puncture of the right internal jugular vein are described. They have been employed routinely for the last six months in all patients requiring central venous cannulation. No serious complications or difficulties have been encountered in a series of two hundred cases. The method allows free movement of the limbs postoperatively...

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ژورنال

عنوان ژورنال: Singapore Medical Journal

سال: 2015

ISSN: 0037-5675

DOI: 10.11622/smedj.2015068