Trouble shooting a small sized IJV

Saini, Vikas; Sardana, Dinesh Kumar; Samra, Tanvir; Sethi, Sameer

doi:10.4103/ijccm.ijccm_398_16

Cited by 5 publications

(5 citation statements)

References 6 publications

(4 reference statements)

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“…Confirm catheter position in the vein. 8 Pirogoffs Venous Confluence Technique: After US assessment of IJV, the probe was placed in sagittal plane at the level of cricoid cartilage to obtain short axis view of the IJV. The linear USG probe (M-Turbo, Fujifilm Sonosite, Inc., Bothell, WA, USA) was placed in the supraclavicular fossa parallel to medial end of clavicle.…”

Section: Sample Sizementioning

confidence: 99%

“…IJV, subclavian vein (SCV) and brachiocephalic vein (BCV) known as the "Pirogoff's confluence. 8 The present study was conducted to evaluate an alternative puncture site and describe the technique of successfully obtaining central venous access at the Pirogoff's venous confluence of IJV, SCV and BCV under USG Guidance. The aim of the study was to compare the efficacy of central venous access at internal jugular vein with it, in respect to first attempt, puncture attempt, number of total attempts for successful cannulation, successful placement, access time, time to central venous catheterisation.…”

Section: Introductionmentioning

confidence: 99%

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To compare the efficacy of USG guided central venous catheterisation at internal jugular vein (IJV) and at the Pirogoff’s confluence

Princee¹,

Sachdev

Jain³

et al. 2022

IJCA

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: To compare the efficacy of USG guided central venous catheterisation at internal jugular vein (IJV) and at the Pirogoff’s confluence [IJV, subclavian vein (SCV), Brachiocephalic Vein (BCV)].: A prospective, comparative, randomized, hospital based study was conducted on 100 patients requiring central venous access. After explaining the study to the selected patients, they were randomized into two groups with the use of sealed envelope method i.e. group A (Central venous cannulation of IJV) and group B (central venous cannulation of Pirogoff’s confluence of IJV, SCV, BCV). Data was collected with respect to the efficacy of USG guided cannulation on the basis of time for visualisation, access time, number of attempts, time to CVC, total time of procedure, length of catheter inserted. Any complications encountered were recorded.: There was no difference between number of attempts in either of groups, mean visualization, access time and time to CVC was longer in group B with statistically significant difference. Mean length of catheter inserted was shorter in group B with statistical significant difference. Procedure time required was comparatively more in group B. : The results indicated that Ultrasound guided cannulation of group A is efficacious than group B in terms of time required to culminate the procedure as well as complications but cannulation of Pirogoff’s confluence is a novel approach giving easier access, better visualisation and length of catheter inserted is lesser than IJV.

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Section: Sample Sizementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

To compare the efficacy of USG guided central venous catheterisation at internal jugular vein (IJV) and at the Pirogoff’s confluence

Princee¹,

Sachdev

Jain³

et al. 2022

IJCA

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“…[1] This technique is especially useful in patients where the internal jugular vein (IJV) vessel lumen is small (eg., volume deficient patient), patients with history of multiple cannulations, and in whom subclavian puncture is contraindicated. [12] Though there is resurgence of this technique, there is debate about exact target site of USG BCV cannulation.…”

mentioning

confidence: 99%

“…Here, we describe three different sites of USG BCV cannulation through supraclavicular fossa: Method 1 – cannulation through lateral wall of IJV near venous confluence; Method 2 – cannulation at venous confluence of three vessels, IJV, subclavian vein (SCV), and BCV also known as the “Pirogoff” confluence;[2] and Method 3 – cannulation of BCV.…”

mentioning

confidence: 99%

Ultrasound-guided left brachiocephalic vein cannulation: Where to puncture the vein?

et al. 2019

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“…[ 2 ] A novel technique used when the IJV has a small lumen (<0.7 cm) and subclavian puncture is contraindicated is cannulating at the venous confluence of three vessels, i.e., IJV, subclavian vein (SCV), and brachiocephalic vein (BCV) known as the “Pirogoff” confluence. [ 3 ] We describe a case where a linear array US probe was used to identify the venous confluence of “Pirogoff” in three simple, quick, and important steps to obtain successful venous cannulation.…”

mentioning

confidence: 99%

Targeting the venous confluence of pirogoff for central venous cannulation insertion, when internal jugular vein cannulation is difficult: A three-step approach

Dhiman¹,

Saini²,

Sethi³

et al. 2018

Indian Journal of Critical Care Medicine

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Trouble shooting a small sized IJV

Cited by 5 publications

References 6 publications

To compare the efficacy of USG guided central venous catheterisation at internal jugular vein (IJV) and at the Pirogoff’s confluence

To compare the efficacy of USG guided central venous catheterisation at internal jugular vein (IJV) and at the Pirogoff’s confluence

Ultrasound-guided left brachiocephalic vein cannulation: Where to puncture the vein?

Targeting the venous confluence of pirogoff for central venous cannulation insertion, when internal jugular vein cannulation is difficult: A three-step approach

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