Anatomical review of internal jugular vein cannulation

Kosnik, Natalie; Kowalski, Taylor; Lorenz, Lorraine; Valacer, Mercedes; Velavan, Sumathilatha Sakthi

doi:10.5603/fm.a2023.0008

Cited by 6 publications

(4 citation statements)

References 124 publications

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“…Then, the supervisor illustrated the CVC procedure using landmark-guided techniques for internal jugular vein cannulation. [ 15 ] After the initial session and under a supervisor’s guidance, one-on-one sessions were designed to provide individualized learning experiences. Each student received at least two hands-on sessions on mannikins.…”

Section: Methodsmentioning

confidence: 99%

Enhancing the Central Venous Catheterization Competency of Medical Students through a Specialized Team and an Interactive Response System: A pre–post study

Tsai,

Lin,

Huang

et al. 2024

Saudi Journal of Medicine &Amp; Medical Sciences

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Background: Central venous catheterization (CVC) is a critical clinical procedure. To avoid complications, possessing good knowledge regarding the CVC care bundle and skills for the proper insertion and maintenance of CVC are important. Objectives: To evaluate the effectiveness of an educational intervention and the use of an interactive response system in enhancing the CVC bundle care and insertion skills of medical students undergoing critical care medicine training. Materials and Methods: Sixth-year medical students (equivalent to fourth-year students in the United States) engaged in didactic lessons, interactive demonstrations, and simulator training facilitated by a CVC team comprising three thoracic and two vascular surgeons (all with a minimum 5 years of experience in central venous access) during their intensive care unit (ICU) rotation. Self-reported knowledge and confidence levels were assessed using pre-and posttests administered through the Zuvio App, an interactive response system. Results: A total of 60 students underwent the educational intervention, of which 54 completed the pretest and 40 completed the posttest. In the posttest, significant improvement was found in the CVC bundle care competency and understanding (P = 0.002), preprocedural preparation (P = 0.002), insertion procedures (P = 0.004), complications (P = 0.003), and insertion depth decisions (P = 0.001). Staff and students reported that assessment and interaction via the Zuvio App were valuable, practical, and feasible in a clinical setting, providing trainees with an individual competency portfolio of receiving precise medical education. Conclusions: Integrating the training provided by a specialized team with an interactive response system enhanced the knowledge and competency level in CVC insertion among medical students in this study.

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Section: Methodsmentioning

confidence: 99%

Enhancing the Central Venous Catheterization Competency of Medical Students through a Specialized Team and an Interactive Response System: A pre–post study

Tsai,

Lin,

Huang

et al. 2024

Saudi Journal of Medicine &Amp; Medical Sciences

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“…Nevertheless, regardless of the chosen approach, it is essential to ensure that the tip of the catheter does not exceed the junction of the superior vena cava and the right atrium, making accurate preoperative estimation crucial. [3][4][5][6] Accurate catheter length estimation is expected to avoid the psychological impact on patient and infection risks secondary to catheter adjustment, especially for infusion ports.…”

Section: Introductionmentioning

confidence: 99%

“…Internal jugular vein catheterization is divided into the middle and posterior approaches according to the relative position between the puncture point and the sternocleidomastoid muscle. [ 3 , 4 ] The middle approach puncture point is located between the sternal and clavicular branches of the sternocleidomastoid muscle, while the posterior approach puncture point is located behind the clavicular branch of the sternocleidomastoid muscle, [ 3 , 4 ] referred to in this paper as the posterior approach of the sternocleidomastoid muscle. Nevertheless, regardless of the chosen approach, it is essential to ensure that the tip of the catheter does not exceed the junction of the superior vena cava and the right atrium, making accurate preoperative estimation crucial.…”

Section: Introductionmentioning

confidence: 99%

Prediction of internal jugular vein catheter length inserted through the posterior approach of the sternocleidomastoid muscle

Chen,

Zhang,

Zhang

et al. 2024

Medicine

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This study aimed to determine an equation to estimate the optimal insertion length for catheter placement via the posterior approach of the sternocleidomastoid muscle in cancer patients. This retrospective study included patients with cancer who underwent infusion port implantation surgery in the Oncology Department of the 900th Hospital of Joint Logistic Support Force of the Chinese People Liberation Army from April 2017 to September 2023. Patient height (H), weight (W), chest length (C), and length of the internal jugular vein catheter (L) were collected from medical records. The patients were randomized 7:3 to the training and validation sets. Linear regression analyses were used in the training set to determine formulas to predict catheter length. The formula predictive value was analyzed using the Bland-Altman method in the validation set. This study included 336 patients, with a mean age of 58.27 ± 11.70 years, randomized in the training (n = 235) and validation (n = 101) sets. Linear regression analysis revealed that the equations for catheter length relative to H, body mass index (BMI), and C are L = 0.144 × H - 8.258 (R² = 0.608, P < .001), L = −0.103 × B + 17.384 (R² = 0.055, P < .001), and L = 0.477 × C + 1.769 (R² = 0.342, P < .001), respectively. The multivariable linear regression analysis showed that the equation between the length of the catheter and H and C was L = 0.131 × H + 0.086 × C-8.515 (R² = 0.614, P < .001). The Bland-Altman analysis in the validation set showed that the predicted values of internal jugular vein catheter length and the actual values showed good agreement. The optimal L might be determined by simple formulas based on patients H and C.

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“…Superficial veins, located in the subcutaneous tissue, play significant role in carrying blood to the heart, especially from the upper and lower extremities. One of the main superficial veins of the upper limb is the cephalic vein (CV), a relatively large vessel used for numerous invasive procedures, due to its consistent anatomy and lower risk of postoperative complications in comparison to venous punctures via subclavian or axillary veins [10,12,15,17,21,25,26].…”

Section: Introductionmentioning

confidence: 99%

A rare variations of the cephalic vein drainage: two cases report

Kaczorowski,

Lasocka,

Spodnik

et al. 2023

Folia Morphol

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Anatomical review of internal jugular vein cannulation

Abstract: This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited. Articles in "Folia Morphologica" are listed in PubMed.

Cited by 6 publications

References 124 publications

Enhancing the Central Venous Catheterization Competency of Medical Students through a Specialized Team and an Interactive Response System: A pre–post study

Enhancing the Central Venous Catheterization Competency of Medical Students through a Specialized Team and an Interactive Response System: A pre–post study

Prediction of internal jugular vein catheter length inserted through the posterior approach of the sternocleidomastoid muscle

A rare variations of the cephalic vein drainage: two cases report

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