Percutaneous central venous catheterization through the external jugular vein in children: is inserting the guide wire into the superior vena cava essential for successful catheterization?

Cruzeiro, Paulo Custódio Furtado; Camargos, Paulo Augusto Moreira; Tatsuo, Edson Samesima; Piçarro, Clécio; Paixäo, Ricardo Mattos; Pontes, Andrey Kaliff; Teixeira, Carlos Renato O.; Miranda, Marcelo Eller

doi:10.1016/j.jpedsurg.2012.04.018

Cited by 9 publications

(11 citation statements)

References 20 publications

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“…The incidence of catheter malposition has been reported to be around 12% by Cruzeiro et al . [ 19 ] Although the incidence of misplacement was similar to the reported, i.e., 12.5% in the control group, it was significantly lower in the study group: 0% with a P = 0.016.…”

Section: Discussionsupporting

confidence: 78%

“…We obtained varied forms of chest X-rays [ Figure 1 ] due to the large number of anatomical diversities in the course and drainage of the EJV. [ 16 ] Regarding complications, the incidence of haematoma has been quoted to be around 7% by Cruzeiro[ 19 ] et al . whereas in our study the overall incidence of haematoma was 3% (4% in the control and 2% in the study group).…”

Section: Discussionmentioning

confidence: 99%

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Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

et al. 2017

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Background and Aims:The external jugular vein (EJV), often used for resuscitation, has been underutilised for central venous catheterisation (CVC) in view of an unpredictable success rate. There is an encouraging literature on the improved success rate of CVC through EJV with the inclusion of certain body manoeuvres. This prospective randomised controlled study was conducted with the aim of evaluating the efficacy of body manoeuvres in improving the success rate of CVC through EJV.Methods:One hundred patients aged 18–50 years, scheduled for elective surgery requiring CVC, were randomly assigned to either undergo CVC using Seldinger technique with body manoeuvres or a control group undergoing CVC without body manoeuvres. The primary outcome was the success rate of CVC, as observed in the post-procedure chest radiograph. Secondary outcomes included quality of central venous pressure waveform, catheterisation attempts, total time for CVC, complications.Results:CVC was achieved in 98% (49/50) of patients in study group and 80% (40/50) of patients in control group (P = 0.008). Mean catheterisation time was significantly lower in the study group (151.06 ± 40.50 s) compared to control group (173.50 ± 50.66 s) (P = 0.023). The incidence of catheter misplacement and failure to cannulate were lower in the study group (0%, 2% vs. 20%, 12.5%, respectively). Groups did not differ in a number of catheterisation attempts and incidence of haematoma.Conclusion:Inclusion of various body manoeuvres to Seldinger technique significantly improves the success rate of CVC through EJV.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

et al. 2017

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“…Also their awareness is essential to anesthesiologists and radiologists for the insertion of central venous catheters. The external jugular vein is one of the most commonly used veins for catheterization, because serious complications induced by the use of deep veins can be avoided (22,9). The anterior jugular vein, especially in cases of enlargement, represents an alternative route.…”

Section: Discussionmentioning

confidence: 99%

Multiple Variations of the Superficial Jugular Veins: Case Report and Clinical Relevance

Paraskevas¹,

Natsis²,

Ioannidis³

et al. 2014

Acta Med. (Hradec Kralove, Czech Repub.)

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The jugular venous system constitutes the primary venous drainage of the head and neck. It includes a profundus or subfascial venous system, formed by the two internal jugular veins, and a superficial or subcutaneous one, formed by the two anterior and two external jugular veins. We report one case of unilateral anatomical variations of the external and anterior jugular veins. Particularly, on the right side, three external jugular veins co-existed with two anterior jugular veins. Such a combination of venous anomalies is extremely rare. The awareness of the variability of these veins is essential to anesthesiologists and radiologists, since the external jugular vein constitutes a common route for catheterization. Their knowledge is also important to surgeons performing head and neck surgery.

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“…To care for patients who need to access to the central venous system, central venous catheters, including internal and external jugular vein, subclavian vein, axillary vein and femoral vein are used to administer fluids, medications, parenteral nutrition, central venous pressure monitoring, blood products and blood sampling ( 1 , 2 ). Arterial catheters include radial, brachial, femoral, dorsalis pedis and axillary in the intensive care unit are used for blood pressure monitoring, repeated blood sampling, and the inability to measure indirect blood pressure ( 3 ) ; invasive arterial blood pressure measurements are more accurate ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Heparinized and Saline Solutions in the Maintenance of Arterial and Central Venous Catheters After Cardiac Surgery

et al. 2015

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Background:Heparinized saline solution is used to prevent occlusion in the arterial catheters and central venous pressure monitoring catheters. Even at low dose, heparin administration can be associated with serious complications. Normal saline solution can maintain patency of arterial catheters and central venous pressure monitoring catheters.Objectives:The current study aimed to compare the efficacy of normal saline with that of heparinized one to maintain patency of arterial and central venous catheters after cardiac surgery.Patients and Methods:In the current randomized controlled trial, 100 patients, with an age range of 18 - 65 years of valve and coronary artery surgery were studied in Rajaie heart center, Tehran, Iran. Patients were randomized to receive either heparinized saline (n = 50) or normal saline flush solutions (n = 50). In the study, arterial catheters and central venous pressure monitoring catheters were daily checked for any signs of occlusion in three postoperative days as primary end-point of the study.Results:According to the information obtained from the study, four (8%) arterial catheters in the saline group (P value: 0.135) and three (6%) arterial catheters in the heparin group (P value = 0.097) were obstructed. Statistical analysis showed that the incidence of obstruction and changes in all other parameters between the two groups during the three-day follow-up was not significant (all P values > 0.05).Conclusions:It seems that there is no difference in the use of heparinized and normal saline solutions to prevent catheter occlusion of arterial and central venous pressure.

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Percutaneous central venous catheterization through the external jugular vein in children: is inserting the guide wire into the superior vena cava essential for successful catheterization?

Cited by 9 publications

References 20 publications

Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

Randomised controlled trial of central venous catheterisation through external jugular vein: A comparison of success with or without body manoeuvres

Multiple Variations of the Superficial Jugular Veins: Case Report and Clinical Relevance

Heparinized and Saline Solutions in the Maintenance of Arterial and Central Venous Catheters After Cardiac Surgery

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