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Article: The medial-transverse approach for internal jugular vein cannulation: An example of lateral thinking

TitleThe medial-transverse approach for internal jugular vein cannulation: An example of lateral thinking
Authors
KeywordsCarotid Artery Puncture
Central Venous Line Cannulation
Internal Jugular Vein
Pneumothorax
Ultrasound
Issue Date2012
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jemermed
Citation
Journal Of Emergency Medicine, 2012, v. 42 n. 2, p. 174-177 How to Cite?
AbstractBackground: Cannulation of the internal jugular vein (IJV) is traditionally performed using the central-longitudinal approach. Pneumothorax, carotid artery puncture, and failure to cannulate are uncommon, but by no means rare, complications. Ultrasound (US) guidance for IJV cannulation has reduced but not eliminated such complications. Technique: We herein introduce a new approach, coined the "medial-transverse approach" due to the perpendicular angle at which the introducer needle is advanced toward the IJV from the median to lateral direction. Discussion: The direction of the introducer needle is not toward the lung, thus virtually eliminating the possibility of pneumothorax. The image of the entire needle is seen when the US probe is typically orientated for a short-axis view of the IJV and carotid artery, thus improving the chance of uncomplicated IJV puncture. We have used this technique with apparent success in thousands of cases over the past 20 years in two different institutions. Conclusion: A modified IJV cannulation technique that seems to have unique advantages over traditional approaches has been described. This technique is compatible with the blind and US-guided approaches. © 2012 Elsevier Inc.
Persistent Identifierhttp://hdl.handle.net/10722/147291
ISSN
2015 Impact Factor: 1.048
2015 SCImago Journal Rankings: 0.511
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHo, AMHen_US
dc.contributor.authorRicci, CJen_US
dc.contributor.authorNg, CSHen_US
dc.contributor.authorCritchley, LAHen_US
dc.contributor.authorHo, AKen_US
dc.contributor.authorKarmakar, MKen_US
dc.contributor.authorCheung, CWen_US
dc.contributor.authorNg, SKen_US
dc.date.accessioned2012-05-29T06:01:17Z-
dc.date.available2012-05-29T06:01:17Z-
dc.date.issued2012en_US
dc.identifier.citationJournal Of Emergency Medicine, 2012, v. 42 n. 2, p. 174-177en_US
dc.identifier.issn0736-4679en_US
dc.identifier.urihttp://hdl.handle.net/10722/147291-
dc.description.abstractBackground: Cannulation of the internal jugular vein (IJV) is traditionally performed using the central-longitudinal approach. Pneumothorax, carotid artery puncture, and failure to cannulate are uncommon, but by no means rare, complications. Ultrasound (US) guidance for IJV cannulation has reduced but not eliminated such complications. Technique: We herein introduce a new approach, coined the "medial-transverse approach" due to the perpendicular angle at which the introducer needle is advanced toward the IJV from the median to lateral direction. Discussion: The direction of the introducer needle is not toward the lung, thus virtually eliminating the possibility of pneumothorax. The image of the entire needle is seen when the US probe is typically orientated for a short-axis view of the IJV and carotid artery, thus improving the chance of uncomplicated IJV puncture. We have used this technique with apparent success in thousands of cases over the past 20 years in two different institutions. Conclusion: A modified IJV cannulation technique that seems to have unique advantages over traditional approaches has been described. This technique is compatible with the blind and US-guided approaches. © 2012 Elsevier Inc.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jemermeden_US
dc.relation.ispartofJournal of Emergency Medicineen_US
dc.subjectCarotid Artery Punctureen_US
dc.subjectCentral Venous Line Cannulationen_US
dc.subjectInternal Jugular Veinen_US
dc.subjectPneumothoraxen_US
dc.subjectUltrasounden_US
dc.titleThe medial-transverse approach for internal jugular vein cannulation: An example of lateral thinkingen_US
dc.typeArticleen_US
dc.identifier.emailCheung, CW:cheucw@hku.hken_US
dc.identifier.authorityCheung, CW=rp00244en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jemermed.2011.05.033en_US
dc.identifier.pmid22056111-
dc.identifier.scopuseid_2-s2.0-84857043759en_US
dc.identifier.hkuros193540-
dc.identifier.hkuros228602-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84857043759&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume42en_US
dc.identifier.issue2en_US
dc.identifier.spage174en_US
dc.identifier.epage177en_US
dc.identifier.isiWOS:000300535800009-
dc.publisher.placeUnited Statesen_US
dc.identifier.citeulike9996988-

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