Skin-traction method prevents the collapse of the internal jugular vein caused by an ultrasound probe in real-time ultrasound-assisted guidance

Sasano, Hiroshi; Morita, Masato; Azami, Takafumi; Ito, Shoji; Sasano, Nobuko; Kato, Ryuichi; Hirate, Hiroyuki; Ito, Hiroaki; Takeuchi, Akinori; Sobue, Kazuya

doi:10.1007/s00540-008-0703-6

Cited by 13 publications

(7 citation statements)

References 11 publications

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“…20,26,30,[35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53] Seven studies compared at least two different degrees of head-down tilt with the supine position. 35,40,44,46,47,50,52 Eleven studies evaluated the area and diameter of the right IJV with head rotation, 20,30,[35][36][37][38][39][40][41]48,49 while eight included measures with the head at a neutral position. 26,38,42,45,46,48,50,53 The rest did not specify.…”

Section: Study Characteristicsmentioning

confidence: 99%

Trendelenburg position for internal jugular vein catheterization: A systematic review and meta-analysis

et al. 2021

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To determine the effect of Trendelenburg position on the diameter or cross-section area of the internal jugular vein (IJV) a systematic review and metanalysis was performed. Studies that evaluated the cross-sectional area (CSA) and anteroposterior (AP) diameter of the right internal jugular vein (RIJV) with ultrasonography in supine and any degree of head-down tilt (Trendelenburg position) were analyzed. A total of 22 articles (613 study subjects) were included. A >5° Trendelenburg position statistically increases RIJV CSA and AP diameter. Further inclination from 10° does not statistically benefit IJV size. This position should be recommended for CVC placement, when patient conditions allow it, and US-guided cannulation is not available.

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Section: Study Characteristicsmentioning

confidence: 99%

Trendelenburg position for internal jugular vein catheterization: A systematic review and meta-analysis

et al. 2021

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“…In VLBW and ELBW infants, the skin over the RIJV is stretched upwards with Micropore® (3M Company, Two Harbors, MI) in the cephalic and caudal directions. The skin traction method was performed to prevent collapse of the internal jugular vein [20] ( Fig. 1).…”

Section: Insertion Techniquementioning

confidence: 99%

Efficacy and safety of ultrasound-guided internal jugular vein catheterization in low birth weight newborn

Montes-Tapia

Rodríguez-Taméz

Cura-Esquivel

et al. 2016

Journal of Pediatric Surgery

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a b s t r a c t a r t i c l e i n f oBackground: Central venous catheterization is not the first choice of vascular access in neonates. Success depends on the size of the vessel and the skill of the health professional performing the procedure. The internal jugular vein provides a predictable path for central venous cannulation, although it is more difficult to cannulate infants than adults and even more difficult in smaller newborns. Methods: We conducted a prospective study in 100 newborns, in which a 4 Fr ultrasound-guided central venous catheter was placed in the right internal jugular vein (RIJV). The study population was low birth weight (LBW) newborns b 2500 g, very low birth weight (VLBW) newborns b 1500 g and extremely low birth weight (ELBW) newborns b1000 g. Results: There were 53% female patients, mean gestational age was 31 weeks, mean weight 1352 g and the CVC was placed at a mean of 12 days of extrauterine life. Birth weight distribution was 39% LBW; 33% VLBW and 28% ELBW. A mean of two (1-8) attempts were necessary with a procedure duration of 16.8 (10-40) minutes. Success of RIJV catheterization was 94%. One attempt was necessary in 50% and up to 5 attempts in 95.7%. Success by weight was VLBW, 97.2%; ELBW, 92.9%; LBW, 91.7%. A venous hematoma occurred in 5% of cases. Conclusions: Ultrasound-guided RIJV cannulation with real-time visualization to gain access to the central venous circulation in low birth weight newborns is effective and safe.

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“…In contrast, the IJV may be difficult to cannulate since it is a superficial vein that tends to collapse under probe or needle pressure or with respiratory movements, particularly in critically ill patients with severe hypovolemia [ 25 ]. These physiological features have been well demonstrated in our study, since the venous collapse was significantly more frequent in OOP-IJV group compared to IP-SSCV group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of ultrasound-guided internal jugular vein and supraclavicular subclavian vein catheterization in critically ill patients: a prospective, randomized clinical trial

Trabelsi

Hajjej

Drira

et al. 2022

Ann. Intensive Care

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Background The aim of this study was to compare the effectiveness and safety of ultrasound-guided out-of-plane internal jugular vein (OOP-IJV) and in-plane supraclavicular subclavian vein (IP-SSCV) catheterization in adult intensive care unit. Methods A total of 250 consecutive patients requiring central venous catheterization, were randomly assigned to undergo either ultrasound-guided OOP-IJV or IP-SSCV cannulation. All catheterizations were carried out by three physicians. The primary outcome was the first attempt success rate. Ultrasound scanning time, venous puncture time, insertion time, overall access time, number of puncture attempts, number of needle redirections, success rate, guidewire advancing difficulties, venous collapse and adverse events were also documented. Results The first attempt success rate was significantly higher in IP-SSCV group (83.2%) compared to OOP-IJV group (63.2%) (p = 0.001). The IP-SSCV group was associated with a longer ultrasound scanning time (16.54 ± 13.51 vs. 5.26 ± 4.05 s; p < 0.001) and a shorter insertion time (43.98 ± 26.77 vs. 53.12 ± 40.21 s; p = 0.038). In the IP-SCCV group, we recorded a fewer number of puncture attempts (1.16 ± 0.39 vs. 1.47 ± 0.71; p < 0.001), needle redirections (0.69 ± 0.58 vs. 1.17 ± 0.95; p < 0.001), difficulties in guidewire advancement (2.4% vs. 27.4%; p < 0.001), venous collapse (2.4%, vs. 18.4%; p < 0.001) and adverse events (8.8% vs. 13.6%; p = 0.22). Conclusions The IP-SSCV approach is an effective and a safe alternative to the classic OOP-IJV catheterization in critical adult patients. Trial registration: Clinicaltrials.gov, NCT03879954. Registered March 19, 2019—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03879954.

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Skin-traction method prevents the collapse of the internal jugular vein caused by an ultrasound probe in real-time ultrasound-assisted guidance

Abstract: With the STM, not only the cross-sectional area but also the compressive force required to collapse the IJV increased. Thus, the STM may facilitate real-time ultrasoundassisted guidance for catheterization of the IJV by maintaining the cross-sectional area of the vein during the guidance.

Cited by 13 publications

References 11 publications

Trendelenburg position for internal jugular vein catheterization: A systematic review and meta-analysis

Trendelenburg position for internal jugular vein catheterization: A systematic review and meta-analysis

Efficacy and safety of ultrasound-guided internal jugular vein catheterization in low birth weight newborn

Comparison of ultrasound-guided internal jugular vein and supraclavicular subclavian vein catheterization in critically ill patients: a prospective, randomized clinical trial

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