Safety and Efficacy of the “Easy Internal Jugular (IJ)”: An Approach to Difficult Intravenous Access

Moayedi, Siamak; Witting, Michael D.; Pirotte, Matthew

doi:10.1016/j.jemermed.2016.07.001

Cited by 14 publications

(16 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The IJV catheterization is used in a variety of situations, including relatively short-term use, such as emergency or critical care, and long-term use, such as chemotherapy and hemodialysis [11]. Recently, it has become possible to safely and easily insert a catheter into an IJV by using ultrasound guidance [4,12]. However, in an emergency situation or in locations where there is no ultrasound machine, the procedure must proceed in a traditional method depending on external anatomical landmarks.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Morphology Analysis of Internal Jugular Veins and Factors Affecting Internal Jugular Vein Size

2020

View full text Add to dashboard Cite

Background and objectives: There is a paucity of research on the shape of internal jugular vein (IJV) and their association with an individual’s morphology and various chronic diseases. Therefore, this study aimed to analyze the anatomy of the IJV across various patients and to relate the differences in anatomy to basic patient characteristics. Materials and Methods: This retrospective study included a total of 313 patients who underwent contrast-enhanced neck computed tomography between January 2017 and December 2018. The circumferences of the right and left IJVs were measured at three locations (hyoid bone, cricoid cartilage, and first thoracic vertebra) and parameters affecting the size of the IJV were analyzed. Results: The right IJV was significantly larger than the left IJV at each position (p < 0.001), and the area of the lumen was the largest at the cricoid cartilage level (p < 0.001). After dividing the right IJV data into two groups (above and below the median area), multivariate logistic regression analysis showed that age (odds ratio (OR) 1.040; 95% confidence interval (CI) 1.022–1.058, p < 0.001) and body mass index (BMI, OR 1.080; 95% CI 1.011–1.154, p = 0.0.23) affected size. Conclusions: The right IJV is larger than the left and has a rhomboid morphology. Age and BMI are significant factors affecting the IJV size.

show abstract

Section: Discussionmentioning

confidence: 99%

Anatomical Morphology Analysis of Internal Jugular Veins and Factors Affecting Internal Jugular Vein Size

2020

View full text Add to dashboard Cite

show abstract

“…13 Valsalva manoeuvre has been demonstrated as effective to reduce the number of venipunctures in jugular, subclavian and femoral vein cannulation. [14][15][16] Data are lacking on the efficacy of this manoeuvre to facilitate cannulation of the deep veins of the arm.…”

Section: And Increasementioning

confidence: 99%

The Valsalva manoeuvre versus tourniquet for venipuncture

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Moayedi et al successfully inserted a catheter into the internal jugular vein in patients with difficult intravenous access in 88% of cases, with a mean time of 4.4 min. The only complication was the loss of patency that occurred in 14% of cases [11]. In our study, we got central venous access into the subclavian vein through a supraclavicular approach with a 3cm long 18G cannula successfully in 96% of cases with a mean time of 27.7 seconds.…”

Section: Discussionmentioning

confidence: 80%

Comparison of Subclavian and Peripheral Intravenous Cannula Insertion in Critically Ill Patients Arriving in Emergency Department

Azam

Shahzad

Anwar

et al. 2019

Cureus

View full text Add to dashboard Cite

Introduction: Peripheral intravenous cannulation (PIVC) is a universal procedure to get venous access in hospital emergency settings. Sometimes, for critically ill patients in an emergency department, when we cannot get peripheral venous access, a central venous access could be established by percutaneous subclavian vein cannula insertion through a supraclavicular approach. This study will compare PIVC and percutaneous subclavian vein cannula insertion through supraclavicular approach, and determine which method is more effective and fast in critically ill patients arriving in the emergency department.Methods: This prospective, randomized clinical trial involved a total of 98 patients arriving in the emergency department in critical condition. Percutaneous subclavian vein cannula insertion through supraclavicular approach was attempted in 49 patients, and PIVC was attempted in other 49 patients. The timing of cannula insertion and the number of attempts for successful cannulation were compared for the two methods.Results: Percutaneous subclavian vein cannula insertion through supraclavicular approach was successful in 47 out of 49 patients (96%), and PIVC was successful in 38 out of 49 patients (78%). Average time of percutaneous subclavian vein cannula insertion through supraclavicular approach was 27.7 seconds (range 15-90 seconds), and the average time of PIVC was 68.64 seconds (range 25-150 seconds).Conclusion: Compared with PIVC, percutaneous subclavian vein cannula insertion through supraclavicular approach is faster and more effective to gain venous access in critically ill patients arriving in emergency department.

show abstract

Safety and Efficacy of the “Easy Internal Jugular (IJ)”: An Approach to Difficult Intravenous Access

Cited by 14 publications

References 13 publications

Anatomical Morphology Analysis of Internal Jugular Veins and Factors Affecting Internal Jugular Vein Size

Anatomical Morphology Analysis of Internal Jugular Veins and Factors Affecting Internal Jugular Vein Size

The Valsalva manoeuvre versus tourniquet for venipuncture

Comparison of Subclavian and Peripheral Intravenous Cannula Insertion in Critically Ill Patients Arriving in Emergency Department

Contact Info

Product

Resources

About