scholarly journals No enlargement of the right internal jugular vein of the dialysis patients in the Trendelenburg position

2013 ◽  
Vol 76 (7) ◽  
pp. 401-406 ◽  
Author(s):  
Hsin-Lun Wu ◽  
Chien-Kun Ting ◽  
Chih-Yang Chen ◽  
Hung-Wei Cheng ◽  
Kwok-Hon Chan ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Dialysis Patients ◽  
Trendelenburg Position ◽  
The Right

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

2021 ◽  
pp. 112972982110313
Author(s):  
Mariana Garcia-Leal ◽  
Santos Guzman-Lopez ◽  
Adrian Manuel Verdines-Perez ◽  
Humberto de Leon-Gutierrez ◽  
Bernardo Alfonso Fernandez-Rodarte ◽  
...  
Keyword(s):  
Systematic Review ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Meta Analysis ◽  
Trendelenburg Position ◽  
Cross Sectional ◽  
Cross Section Area ◽  
Section Area ◽  
Internal Jugular Vein Catheterization ◽  
The Right

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.

Comparison of the effect of the right lateral tilt position and Trendelenburg position on the right internal jugular vein in healthy volunteers: A prospective observational study

2019 ◽  
Vol 20 (6) ◽  
pp. 672-676
Author(s):  
Mehmet S Uluer ◽  
Mehmet Sargin ◽  
Betül Başaran
Keyword(s):  
Internal Jugular Vein ◽  
Prospective Observational Study ◽  
Jugular Vein ◽  
Cross Sectional Area ◽  
Transverse Diameter ◽  
Sectional Area ◽  
Trendelenburg Position ◽  
Cross Sectional ◽  
Lateral Tilt ◽  
The Right

Background: Central venous cannulation is an invasive procedure commonly used by many physicians. The aim of this study was to evaluate the effects of the right lateral tilt position on the cross-sectional area and size of the right internal jugular vein, and the relationship between the right internal jugular vein and the carotid artery. Method: Forty healthy volunteers aged over 18 years were included in this prospective, observational study. The right internal jugular vein cross-sectional area and the anatomic relationship with the carotid artery were assessed using ultrasound imaging. This measurement was repeated for four positions (baseline position, 10° right tilt position, 10° Trendelenburg position, and 10° right tilt + 10° Trendelenburg position). The head was rotated 30° to the contralateral side in all patients. Results: The mean (standard deviation) right internal jugular vein cross-sectional area, transverse diameter, and anteroposterior diameter were significantly increased with the Trendelenburg position and 10° right tilt + 10° Trendelenburg position (p < 0.05). There were no significant differences in right internal jugular vein cross-sectional area, transverse diameter, and anteroposterior diameter between the baseline position and 10° right tilt position (p > 0.05). Conclusion: We found that the right lateral tilt position had no effect on the internal jugular vein cross-sectional area and that the Trendelenburg position was still the most valid position for safely increasing the right internal jugular vein cross-sectional area.

scholarly journals Ultrasound evaluation of techniques for internal jugular vein puncture in children

2008 ◽  
Vol 23 (5) ◽  
pp. 469-472 ◽  
Author(s):  
Sérgio Tomaz Schettini ◽  
Luiz Fernando Ybarra Martins de Oliveira ◽  
Harold Ruiz Henao ◽  
Henrique Manoel Lederman
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Neutral Position ◽  
Ultrasound Images ◽  
Healthy Children ◽  
Variation Analysis ◽  
Trendelenburg Position ◽  
Transversal Section ◽  
Ultrasound Evaluation ◽  
The Right

PURPOSE: To determine by ultrasound which access and position the child must stay to obtain the best transversal section of the right Internal Jugular Vein (RIJV) allowing a safer puncture. METHODS: Three possible accesses to the RIJV, anterior, lateral and posterior, from 57 healthy children, were analyzed through ultrasound images in a sequence of positions of the head, in supine position, with or without a roll under the scapula: head centered in neutral position with and without a roll (NPP and NP); contra lateral rotation with and without a roll (CLRP and CLR), neutral position and the patient raised in 30° in Trendelenburg position (TDG). To analyze the results it was applied one statistic method, with variation analysis to the same individuals. Basic Procedures: Ultrasound evaluation in each one of the proposed positions. RESULTS: The statistical analysis of the results observed that the lateral puncture with the patient in the neutral position, in Trendelemburg without a roll, offers a bigger area in comparison to all the other options of puncture and positioning of the patient (p<0, 0001). CONCLUSION: The safer way for the puncture of RIJV in children is obtained in neutral position in Trendelemburg by lateral puncture, without a shoulder roll.

scholarly journals Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report

2018 ◽  
Vol 47 (2) ◽  
pp. 1005-1009
Author(s):  
Taehee Pyeon ◽  
Jeong-Yeon Hwang ◽  
HyungYoun Gong ◽  
Sang-Hyun Kwak ◽  
Joungmin Kim
Keyword(s):  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Present Report ◽  
Large Diameter ◽  
Venous Catheter ◽  
Venous Access ◽  
Central Venous ◽  
The Right ◽  
Gain Access

Central venous catheters are used for various purposes in the operating room. Generally, the use of ultrasound to insert a central venous catheter is rapid and minimally complicated. An advanced venous access (AVA) catheter is used to gain access to the pulmonary artery and facilitate fluid resuscitation through the internal jugular vein. The present report describes a case in which ultrasound was used in a 43-year-old man to avoid complications during insertion of an AVA catheter with a relatively large diameter. The sheath of the catheter was so thin that a dilator was essential to prevent it from folding upon insertion. Despite the use of ultrasound guidance, the AVA catheter sheath became folded within the patient’s internal jugular vein. Mechanical complications of central venous catheter insertion are well known, but folding of a large-bore catheter in the internal jugular vein has rarely been reported.

scholarly journals Aplasia of the superior vena cava and persistent superior left vena cava in a 3-year-old child: Case report

2021 ◽  
Vol 11 (1) ◽  
pp. 85-90
Author(s):  
Vladimir V. Lazarev ◽  
Tatiana V. Linkova ◽  
Pavel M. Negoda ◽  
Anastasiya Yu. Shutkova ◽  
Sergey V. Gorelikov ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Jugular Vein ◽  
Superior Vena Cava ◽  
Vascular Access ◽  
Vascular System ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
X Ray ◽  
The Right

BACKGROUND: Structural features of the patients vascular system can cause unintended complications when providing vascular access and can disorient the specialist in assessing the location of the installed catheter. This study aimed to demonstrate anatomical features of the vascular system of the superior vena cava and diagnostic steps when providing vascular access in a child. CASE REPORT: Patient K (3 years old) was on planned maintenance of long-term venous access. Preliminary ultrasound examination of the superior vena cava did not reveal any abnormalities. Function of the right internal jugular vein under ultrasound control was performed without technical difficulties; a J-formed guidewire was inserted into the vessel lumen. X-ray control revealed its projection in the left heart, which was regarded as a technical complication, so the conductor was removed. A further attempt to insert a catheter through the right subclavian vein led to the same result. For a more accurate diagnosis, the child underwent computed angiography of the superior vena cava system. Congenital anomalies of the vascular system included aplasia of the superior vena cava and persistent left superior vena cava. Considering the information obtained, the Broviac catheter was implanted under ultrasound control through the left internal jugular vein without technical difficulties with the installation of the distal end of the catheter into the left brachiocephalic vein under X-ray control. CONCLUSION: A thorough multifaceted study of the vascular anatomy helps solve the anatomical issues by ensuring vascular access and preventing the risks of complications.

Massive hemoptysis following cannulation of right internal jugular vein for insertion of cuffed hemodialysis catheter: A rare complication of central venous catheterization

2020 ◽  
pp. 112972982091030
Author(s):  
Hamed Ghoddusi Johari ◽  
Mohammad Mehdi Lashkarizadeh ◽  
Parviz Mardani ◽  
Reza Shahriarirad
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Main Bronchus ◽  
Rare Complication ◽  
Posterior Mediastinum ◽  
Chest Roentgenogram ◽  
Massive Hemoptysis ◽  
Rare Presentation ◽  
Hemodialysis Catheter ◽  
The Right

Here we report an extremely rare presentation of internal jugular vein catheterization, presenting as massive hemoptysis which was noted during right internal jugular vein cuffed hemodialysis catheter insertion of a 39-year-old man known-case of End-Stage Renal Disease. Chest roentgenogram and computerized tomography scan showed pleural effusion and misplacement of the tip of hemodialysis catheter in the posterior mediastinum causing possible damage to the right main bronchus. After chest tube insertion and removing the misplaced hemodialysis catheter, a proper cuffed catheter was inserted and the patient was discharged with an uneventful post-op course.

Safely repositioning dual-lumen ECMO cannulas with a transfemoral lasso snare

Perfusion ◽  
2020 ◽  
pp. 026765912096903
Author(s):  
Erika R O’Neil ◽  
Ryan D Coleman ◽  
Adam M Vogel ◽  
Corey A Chartan ◽  
Kamlesh U Kukreja
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Real Time ◽  
Internal Jugular Vein ◽  
Pediatric Patients ◽  
Jugular Vein ◽  
Limb Ischemia ◽  
Venovenous Extracorporeal Membrane Oxygenation ◽  
The Right ◽  
Fluoroscopy Guidance ◽  
Vv Ecmo

Introduction: Dual-lumen cannulas were designed to provide venovenous extracorporeal membrane oxygenation (VV ECMO) with single-vessel access. Anatomic and size considerations may make appropriate placement challenging in children. Dual-lumen cannulas are repositioned in 20–69% of pediatric patients, which can be difficult without transient discontinuation of ECMO support. Methods: We repositioned three dual-lumen ECMO cannulas introduced via the right internal jugular vein using a transfemoral snare technique under real-time ultrasound and fluoroscopy. Results: Two of three patients were supported on VV ECMO and one on veno-veno-arterial (VV-A) ECMO. Two of the three patients had their dual-lumen cannula repositioned under ultrasound and fluoroscopy guidance and one was repositioned just with ultrasound. No patient experienced a complication from the transfemoral snare technique such as femoral hematoma, hemorrhage or limb ischemia. Conclusion: We describe three patients who successfully had dual-lumen cannulas repositioned without cessation of ECMO using a transfemoral “lasso” technique.

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