Use of optimized ultrasound axis along with marked introducer needle to prevent mechanical complications of internal jugular vein catheterization.
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Date
2013-10
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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.
Description
Keywords
Internal jugular vein access, Introducer needle, Ultrasound, Ultrasound guided catheter insertion
Citation
Ghatak Tanmoy, Singh Ratender Kumar, Baronia Arvind Kumar. Use of optimized ultrasound axis along with marked introducer needle to prevent mechanical complications of internal jugular vein catheterization. Annals of Cardiac Anaesthesia. 2013 Oct; 16(4): 296-298.