use of optimized ultrasound axis along with marked introducer needle to prevent mechanical complications of internal jugular vein catheterization

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ID: 213253
2013
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Abstract
Internal jugular vein (IJV) catheterization is a routine technique in the intensive care unit. Ultrasound (US) guided central venous catheter (CVC) insertion is now the recommended standard. However, mechanical complications still occur due to non-visualization of the introducer needle tip during US guidance. This may result in arterial or posterior venous wall puncture or pneumothorax. We describe a new technique of (IJV) catheterization using US, initially the depth of the IJV from the skin is measured in short-axis and then using real time US long-axis view guidance a marked introducer needle is advanced towards the IJV to the defined depth measured earlier in the short axis and the IJV is identified, assessed and cannulated for the CVC insertion. Our technique is simple and may reduce mechanical complications of US guided CVC insertion.
Reference Key
ghatak2013annalsuse Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Tanmoy Ghatak;Ratender Kumar Singh;Arvind Kumar Baronia
Journal daru journal of pharmaceutical sciences
Year 2013
DOI
10.4103/0971-9784.119185
URL
http://www.annals.in/article.asp?issn=0971-9784;year=2013;volume=16;issue=4;spage=296;epage=298;aulast=Ghatak
Keywords
internal jugular vein access; introducer needle; ultrasound; ultrasound guided catheter insertionanesthesiologydiseases of the circulatory (cardiovascular) system

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