Anatomic relationship between the internal jugular vein and the carotid artery in preschool children – an Ultrasonographic Study

Roth, Benjamin; Marciniak, Bruno; Engelhardt, Thomas; Bissonnette, Bruno

doi:10.1111/j.1460-9592.2008.02635.x

Cited by 26 publications

(32 citation statements)

References 26 publications

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“…Ultrasound location of the neck vessels was easy and did not delay the procedure. The IJV was anterolateral or anterior to the CA in the majority of patients with the head placed in the neutral position, and the diameter as well as the depth of the IJV increased with the age and weight of the patient and is consistent with previous reports (10).…”

Section: Discussionsupporting

confidence: 91%

The anatomic relationship between the internal jugular vein and the carotid artery in children after laryngeal mask insertion. An ultrasonographic study

Nagaraja¹,

Wilson²,

Wilson³

et al. 2010

Pediatric Anesthesia

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Section: Discussionsupporting

confidence: 91%

The anatomic relationship between the internal jugular vein and the carotid artery in children after laryngeal mask insertion. An ultrasonographic study

Nagaraja¹,

Wilson²,

Wilson³

et al. 2010

Pediatric Anesthesia

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“…Several studies examined the anatomical relationship between CCA and IJV [8][9][10][11][12], but there are only a few between IJV and VA [13]. In the present study, VA was identified in all children at the level of the cricoid cartilage.…”

Section: Discussionmentioning

confidence: 97%

Differences in anatomical relationship between vertebral artery and internal jugular vein in children and adults measured by ultrasonography

Matsushita

Yamaura

Karashima

et al. 2015

J Clin Monit Comput

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Cannulation of the internal jugular vein (IJV) under ultrasound guidance can reduce complications, such as common carotid artery (CCA) puncture, accidental vertebral artery (VA) puncture. However, these complications still occur, especially in pediatric patients probably due to anatomical predisposition of VA. This study compared differences in anatomical location of VA and IJV between pediatric and adult patients. Children with body weight <20 kg (n = 16) and adults who required central venous or pulmonary arterial pressure monitoring (n = 21) were enrolled. After induction of general anesthesia and tracheal intubation, patients were positioned for IJV cannulation. Images of the right CCA, IJV and VA were recorded by ultrasonography. The size of each vessel, anatomical relationship of other vessels, distance between vessels and between each vessel and skin were measured. The size of VA relative to IJV was significantly larger in children than in adults (14 vs 7 %, P < 0.001). The absolute and relative distance between IJV and VA were significantly shorter in children than those in adults (P < 0.01). The anatomical relationships between IJV and CCA and that between IJV and VA were not different between children and adults. In children, VA was relatively larger and located closer to IJV than adults. The results call for careful attention to the position of VA during ultrasound-guided IJV cannulation especially in children.

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“…The carotid artery usually lies medial and posterior to the IJV in the carotid sheath. In children positioned with their head in the neutral position, Roth et al demonstrated that the IJV was most often found antero-lateral and anterior (54 and 24 %, respectively) in relation to the carotid artery [ 74 ]. The stellate ganglion and the cervical sympathetic trunk lie medial and posterior to the IJV.…”

Section: Anatomymentioning

confidence: 99%

Central Venous Vascular Access

Kaplan

Brilli

2014

Pediatric Critical Care Medicine

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In children, central venous catheters are most often used for cardiovascular monitoring, emergency vascular access, intermittent blood removal for laboratory analysis, fl uid and drug administration, plasmapheresis, hemodialysis, and long-term chemotherapy. This chapter provides an overview of choices in central venous access sites, describes central venous catheterization techniques, and delineates associated risks and complications. Decisions regarding the "best" site for central venous cannulation depend upon patient specifi c clinical variables, risk of complications, operator experience, future vascular access needs, and projected length of time the catheter will remain in place. In 2011, the Centers for Disease Control (CDC) published updated recommendations regarding the selection, insertion, maintenance, and discontinuation of central lines. This guideline deserves review by practitioners who insert and/or maintain central venous lines in children (see Table 29.1). The femoral vein is the most common site for central venous access in children. This site may have the lowest insertion risk profi le and a high degree of operator experience across multiple specialties. In adult patients, IJ and subclavian vessels are preferred sites because the rates of infection and deep venous thrombosis may be less than that found with femoral venous catheterization, however in children these differences are less clear. In children, operator experience and need for minimal sedation when placing femoral catheters, are important drivers in site choice. The subclavian vein is the preferred route for long-term venous access in children because it is easily inserted via the tunneled approach, is well tolerated, and is associated with few complications. Standard landmark insertion techniques

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Anatomic relationship between the internal jugular vein and the carotid artery in preschool children – an Ultrasonographic Study

Cited by 26 publications

References 26 publications

The anatomic relationship between the internal jugular vein and the carotid artery in children after laryngeal mask insertion. An ultrasonographic study

The anatomic relationship between the internal jugular vein and the carotid artery in children after laryngeal mask insertion. An ultrasonographic study

Differences in anatomical relationship between vertebral artery and internal jugular vein in children and adults measured by ultrasonography

Central Venous Vascular Access

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