Ultrasound evaluation of central veinsin the intensive care unit:effects of dynamic manoeuvres

Modeliar, S. Samy; Sevestre, Marie‐Antoinette; Cagny, B de; Slama, Michel

doi:10.1007/s00134-007-0875-9

Cited by 30 publications

(21 citation statements)

References 17 publications

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“…All of the patients were positioned with their neck in extension and head rotated left at [20][21][22][23][24][25][26][27][28][29][30] . Patients were studied in State 0, table flat (no tilt), with the patients in the supine position, and State T, in which the operating table was tilted 15 to a TP.…”

Section: Methodsmentioning

confidence: 99%

Ultrasound validation of Trendelenburg positioning to increase internal jugular vein cross-sectional area in chronic dialysis patients

Nayman¹,

Önal

Apilioğulları

et al. 2015

Renal Failure

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Section: Methodsmentioning

confidence: 99%

Ultrasound validation of Trendelenburg positioning to increase internal jugular vein cross-sectional area in chronic dialysis patients

Nayman¹,

Önal

Apilioğulları

et al. 2015

Renal Failure

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“…1,13 The mean diameter of the right internal jugular is 11.5 mm, but it can be less than 5 mm in 13-18% of cases. 14,15 Thus, it is not surprising to find only partial success when puncturing laterally to the artery using the blind technique ( Figure 1, Table 1) Anatomical variations can be observed between the left and right jugular vein in the same individual. According to Modeliar et al, the diameter of the jugular vein is significantly larger on the right than on the left in 65% of cases.…”

Section: Anatomical Variantsmentioning

confidence: 99%

“…According to Modeliar et al, the diameter of the jugular vein is significantly larger on the right than on the left in 65% of cases. 15 In another study, Lichtenstein et al evaluated the asymmetry between the right and left jugular veins. Asymmetry was defined as an area twice as large as the opposite side and was noted in 62% of cases, the right jugular vein being dominant in 68% of patients.…”

Section: Anatomical Variantsmentioning

confidence: 99%

“…1,13 Le diamètre moyen de la jugulaire interne droite est de 11,5 mm mais peut être inférieur à 5 mm dans 13-18 % des cas. 14,15 Ainsi, en ponctionnant latéralement l'artère à l'aveugle, une réussite partielle n'est pas surprenante ( Figure 1, Tableau 1).…”

Section: Variations Anatomiquesunclassified

“…1 Modeliar et coll., le diamètre de la jugulaire droite est significativement plus grand que celui de la gauche dans 65 % des cas. 15 Dans une autre étude, Lichtenstein et coll. ont évalué l'asymétrie entre la veine jugulaire droite et gauche.…”

Section: Variations Anatomiquesunclassified

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Ultrasound guidance for internal jugular vein cannulation: Continuing Professional Development

Ayoub

Lavallée

Denault

2010

Can J Anesth/J Can Anesth

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Purpose The objective of this continuing professional development module is to describe the role of ultrasound for central venous catheterization and to specify its benefits and limitations. Although ultrasound techniques are useful for all central venous access sites, the focus of this module is on the internal jugular vein approach. Principal findings In recent years, several studies were published on the benefits of ultrasound use for central venous catheterization. This technique has evolved rapidly due to improvements in the equipment and technology available. Ultrasound helps to detect the anatomical variants of the internal jugular vein. The typical anterolateral position of the internal jugular vein with respect to the carotid is found in only 9-92% of cases. Ultrasound guidance reduces the rate of mechanical, infectious, and thrombotic complications by 57%, and it also reduces the failure rate by 86%. Cost-benefit analyses show that the cost of ultrasound equipment is compensated by the decrease in the expenses associated with the treatment of complications. In this article, we will review the history of ultrasound guidance as well as the reasons that account for its superiority over the classical anatomical landmark technique. We will describe the equipment needed for central venous catheterization as well as the various methods to visualize with ultrasound. Conclusion To improve patient safety, we recommend the use of ultrasound for central venous catheterization using the internal jugular approach. ObjectivesAfter reading this module, the reader will be able to:1. Understand the rationale behind the use of ultrasound for central venous catheterization; 2. Identify anatomical variations in vascular structures in the neck; 3. Recognize the benefits and limitations related to the use of ultrasound; and 4. Adopt an ultrasound-guided approach in everyday practice.Over the years, anesthesiologists have adopted new technologies that are used for clinical monitoring and intraoperative diagnosis as well as for performing various techniques. These advances assist the anesthesiologist in performing procedures that may be associated with significant complications. One such procedure is central venous catheterization, which can be simplified and made safer with ultrasound. The main objective of this article is to explain the scientific and clinical foundations supporting the role of ultrasound in central venous catheterization. We will focus exclusively on the internal jugular vein approach. 123 Can J Anesth/J Can Anesth (2010) 57:500-514 DOI 10.1007/s12630-010-9291-7 Historical perspectiveThe main indications for central venous catheterization in the operating room or intensive care unit (ICU) include central venous pressure monitoring, the insertion of a pulmonary artery catheter, and the administration of drugs, such as antibiotics, vasopressors, inotropes, and chemotherapeutic agents. These catheters are also used to administer parenteral nutritional support, and they are needed for procedures such as...

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Central Venous Access

Amankwah

2014

Essentials of Vascular Surgery for the General Surgeon

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Ultrasound evaluation of central veinsin the intensive care unit:effects of dynamic manoeuvres

Cited by 30 publications

References 17 publications

Ultrasound validation of Trendelenburg positioning to increase internal jugular vein cross-sectional area in chronic dialysis patients

Ultrasound validation of Trendelenburg positioning to increase internal jugular vein cross-sectional area in chronic dialysis patients

Ultrasound guidance for internal jugular vein cannulation: Continuing Professional Development

Central Venous Access

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