Long-axis view for ultrasound-guided central venous catheter placement via the internal jugular vein

Af, Mahan; McEvoy,; Gravenstein, Nikolaus

doi:10.21454/rjaic.7518.231.axs

Cited by 4 publications

(3 citation statements)

References 35 publications

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“…The reported incidence of mechanical complications following central venous catheterization is between 1.1% and 17%, and depending on its definition, the most common complication is carotid artery injury[ 2 ]. Therefore, many studies have been conducted on the relationship between the IJV and carotid artery, as well as ultrasonic observation of the effect of positive pressure ventilation and body position on the size of the IJV[ 3 , 4 ] and relevant studies on the catheterization of the IJV[ 5 ]. However, few people are concerned about the muscles that surround the IJV, and few people are careful not to damage them during the puncture, such as the omohyoid muscle(OM).…”

Section: Introductionmentioning

confidence: 99%

Anatomical relationship between the omohyoid muscle and the internal jugular vein on ultrasound guidance

et al. 2022

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Background Internal jugular vein catheterization is widely used in clinical practice, and there are many related studies on internal jugular vein catheterization. However, the omohyoid muscle, which is adjacent to the internal jugular vein, is a rarely mentioned muscle of the infrahyoid muscles group. The purpose of this study is to explore the anatomical relationship between the omohyoid muscle and the internal jugular vein on ultrasound guidance and provide a theoretical reference for jugular puncture and catheterization. Methods The study included 30 volunteers. The volunteer’s head lay in the neutral position and was then turned to the left at an angle of 30°, 45° and 60° with the bed surface, as verified using an adjustable protractor. A high-frequency ultrasound probe (6–14 Hz) was used to examine the plane of the apex of sternocleidomastoid triangle (PAST), the triangle consists of anatomical landmarks: a base was clavicle, its sides – heads of sternocleidomastoid muscle. And the plane of the middle of sternocleidomastoid triangle(PMST) which was a horizontal line, connecting midpoints of both sides. The right omohyoid muscle (OM) and the right internal jugular vein (IJV) were observed and recorded for statistical analysis. Results There were statistically significant differences in the number of overlapping cases of OM and IJV at each head rotation angle between the PAST and PMST groups. There were statistically significant differences between the angles which OM and IJV centre point line and the left horizontal position of the PAST and PMST at different body angles. Conclusion The traditional middle route puncture point is the apex of the sternocleidomastoid triangle, which can effectively avoid injury to the omohyoid muscle, to an extent. Trail registration ChiCTR2000034233, Registered 29/06/2020. www. Chinese Clinical Trial Registry.gov.

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Section: Introductionmentioning

confidence: 99%

Anatomical relationship between the omohyoid muscle and the internal jugular vein on ultrasound guidance

et al. 2022

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“…Different approaches have been used for USG-CVC insertion, including SAX, long-axis view (LAX), and alternative oblique axis approaches. A superior trend has been witnessed for the medial oblique and longaxis plane approach compared to the transverse approach concerning the time of insertion, the number of pricks, and the number of complications, including malpositioning [4][5].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Wire-in-Needle Technique for Ultrasound-Guided Central Venous Catheter Insertion in a Pediatric ICU

Jorya¹,

Shehri²,

Naeem³

2022

Cureus

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For further evaluating the feasibility and safety of wire-in-needle (WIN) technique application for ultrasound-guided central venous catheter (USG-CVC) insertion in a pediatric intensive care unit (PICU). MethodsWe prospectively monitored all patients who underwent central line insertion guided by ultrasound from March 2018 to March 2019. An independent nurse recorded the patient's age, gender, weight and BMI, diagnosis, indication for insertion, blood pressure state, insertion time, line size, number of pricks, and arterial punctures. ResultsA central line was inserted in 141 patients. The author applied the WIN technique in 16 patients, while in 125 patients, the central line was inserted via the traditional technique. The success rate was 100% for the WIN technique arm with zero arterial pricks, and the mean number of needle pricks was 1.1. For the traditional technique arm, the success rate was 90% with three arterial pricks. The mean number of needle pricks was 1.38. The insertion time was 86.25 seconds and 304 seconds for the WIN technique and the standard technique, respectively; this difference was statistically significant (p <0.001). ConclusionThe WIN technique is feasible and could provide a safe and relatively fast alternative technique for real-time USG-CVC insertion in the PICU. The WIN technique is feasible and not inferior to the standard short-axis technique. A good level of experience related to USG-CVC insertion provides a safe and rapid alternative technique for real-time USG-CVC insertion in the PICU.

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“…During ultrasound-guided internal jugular CVC placement, inadvertent arterial catheterization has been reported when the guidewire penetration through the posterior wall of the IJV into the adjacent artery was overlooked by simple confirmation of the guidewire within the vein 9 – 13 . Therefore, not only identification of the guidewire in the IJV but also verification that the guidewire has not penetrated the posterior wall of the IJV is of critical important 7 – 10 , 14 , 15 . Notably, a recent guideline has recommended verification of the guidewire traveling along the IJV parallel to it and without any changes in angle in a long-axis view 8 .…”

Section: Introductionmentioning

confidence: 99%

Availability of ultrasound imaging of a guidewire parallel to the vein during internal jugular central venous catheter placement

Wakabayashi

2021

Sci Rep

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Ultrasound verification of the guidewire traveling along the vein parallel to it and without any changes in angle has been recommended for prevention of inadvertent arterial catheterization during central venous catheter (CVC) placement. The aim of this study was to determine the availability of this parallel guidewire imaging during internal jugular CVC placement. Fifty-six adult patients undergoing cardiovascular surgery were included. The success rate of acquiring a parallel guidewire image was assessed. Logistic regression models and generalized additive models were used to identify the factors contributing to achieve parallel guidewire imaging. Among 56 patients in whom the guidewire was correctly positioned, the parallel guidewire image was acquired in 45 (80%) patients. Body mass index (crude odds ratio: 0.74 [95% confidence interval: 0.61–0.91]; p = 0.004) and distance from the puncture site to the clavicle (crude odds ratio: 1.32 [95% confidence interval: 1.11–1.58]; p = 0.002) were associated with successful depiction. The predicted probability of successful visualization was 96% (95% confidence interval: 82–99%) when the distance from the puncture site to the clavicle was 50 mm. The distance is a reliable predictor for successful visualization, and thus it should be considered when performing internal jugular CVC placement.

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Long-axis view for ultrasound-guided central venous catheter placement via the internal jugular vein

Cited by 4 publications

References 35 publications

Anatomical relationship between the omohyoid muscle and the internal jugular vein on ultrasound guidance

Anatomical relationship between the omohyoid muscle and the internal jugular vein on ultrasound guidance

Feasibility of Wire-in-Needle Technique for Ultrasound-Guided Central Venous Catheter Insertion in a Pediatric ICU

Availability of ultrasound imaging of a guidewire parallel to the vein during internal jugular central venous catheter placement

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