PMID: 6985778Jan 1, 1980Paper

Percutaneous cervical central venous line placement: a comparison of the internal and external jugular vein routes

Anesthesia and Analgesia
K G BelaniW Castaneda

Abstract

To compare the rate of success and incidence of complications associated with two currently popular routes of percutaneous central venous cannulation, we studied 167 patient in whom either internal or external jugular vein catheterization was attempted. Internal jugular vein (IJV) catheterization (125 patients) was successful in 91%; an intrathoracic location was achieved in 100%; complications occurred in 12.8%. Complications included one case of catheter malposition, one case of tension pneumothorax, and 12 instances of inadvertent carotid artery puncture, one resulting in a paratracheal hematoma and phrenic nerve compression. The success rate of IJV cannulation was higher and carotid artery puncture less frequent when an 18-gauge thin-walled needle and a straight guide-wire were used than when IJV cannulation was performed by bind puncture with a larger over-the-needle catheter. Delayed vein perforation occurred twice. External jugular vein cannulation (42 patients), using a "J" wire technique, yielded a 76% success rate: 93.7% of catheter tips reached an intrathoracic location. No complications occurred. We conclude that IJV cannulation is a more reliable means of percutaneous central venous line placement but is associated...Continue Reading

Citations

Jun 1, 2006·Pediatric Surgery International·Paulo Custódio F CruzeiroMarcelo E Miranda
Jul 1, 1996·International Journal of Obstetric Anesthesia·C R Garcia-Rodriguez, S M Yentis
Jul 9, 2010·Journal of Vascular and Interventional Radiology : JVIR·Sean R DariushniaUNKNOWN Society of Interventional Radiology Standards of Practice Committee
Oct 1, 1984·Acta Anaesthesiologica Scandinavica·P S MolinariJ J Buckley
Oct 1, 1982·Acta Anaesthesiologica Scandinavica·H Tydén
Aug 1, 1986·Acta Anaesthesiologica Scandinavica·P BerthelsenJ Møller
May 4, 1999·Angiology·T L Moskal, C E Ray
Sep 13, 2012·Paediatric Anaesthesia·Ehrenfried SchindlerTomohiro Yamamoto
Mar 12, 2002·Acta Neurologica Scandinavica·M ReuberJ M Bamford

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.