PMID: 22338128Feb 18, 2012Paper

Application of ultrasonic surface location for internal jugular vein catheterization via central approach

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
Yi-Long ZhangXue-Xin Feng

Abstract

To explore the clinical value of ultrasonic surface localization in internal jugular vein catheterization. Totally 150 patients with American Society of Anesthesiologists physical status I -III who were planning to receive elective surgeries were randomized into anatomical landmark group, ultrasonic surface positioning group, and ultrasound-guided group using computed random table, with 50 cases in each group. The right internal jugular vein catheterization was performed after tracheal intubation. In the anatomic landmark group, patients were punctured using surface marks through central approach. In ultrasonic surface positioning group and ultrasound-guided group, patients were punctured with ultrasonic localization and guidance through central approach. The relationship between internal jugular vein and carotid artery, the position of the needle into the vein, the success rate of puncture, the change times of puncture point, and the complications were recorded. Ultrasound scan revealed that the relationship between the right internal jugular vein and the right common carotid artery could be divided into three types: parallel (12.7%), partial overlapping (69.3%), and complete overlapping (18.0%). The average "safety distance" ...Continue Reading

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