Comparative Sonoanatomy of Classic “Short Axis” Probe Position with a Novel “Medial-oblique” Probe Position for Ultrasound-guided Internal Jugular Vein Cannulation: A Crossover Study

2015 ◽  
Vol 48 (5) ◽  
pp. 590-596 ◽  
Author(s):  
Dalim Kumar Baidya ◽  
Chandralekha ◽  
Vanlal Darlong ◽  
Ravindra Pandey ◽  
Devalina Goswami ◽  
...  
2018 ◽  
Vol 19 (4) ◽  
pp. 398-400 ◽  
Author(s):  
Anton A Kasatkin ◽  
Aleksandr L Urakov ◽  
Anna R Nigmatullina

Introduction: Central venous cannulation may be difficult in morbidly obese patients. We present a case of successful right internal jugular vein catheterization under real-time ultrasound guidance in an obese patient in a forced semi-sitting position. Case report: A 43-year-old male patient with body mass of 182 kg (body mass index, 52.2 kg/m2) was admitted to the clinic 48 h after the trauma. The patient was in a forced semi-sitting position (37° head elevation). The patient was not able to perform the Valsalva maneuver. In the reported case, the lateral access for right internal jugular vein catheterization was chosen. We selected a lateral-oblique probe position for the ultrasound-guided internal jugular vein cannulation. Internal jugular vein catheterization was successful at the first attempt. Conclusion: Ultrasound imaging enables us to choose a desirable access for successful internal jugular vein cannulation in the obese patient without head-down tilt position. The lateral-oblique probe position for internal jugular vein cannulation may have advantages in certain clinical situations.


2021 ◽  
Vol 6 (3) ◽  
pp. 170-172
Author(s):  
Shallu Chaudhary ◽  
Ravikant Dogra ◽  
Ramesh Kumar

This study was carried out in 80 patients admitted in the ICU and OT of IGMC Shimla. They were divided into 2 groups of 40 patients each. Internal jugular venous cannulations were done using ultrasound guided techniques (short axis and long axis view). The complications encountered during cannulation were noted. All the patients from both the groups were successfully cannulated by the operator under ultrasound guidance. Artery punctures occurred in 3 patients which was successfully managed and the cannulations were reattempted and were successful. None of the cannulation was abandoned. Keywords: ultrasound guided internal jugular vein cannulation, central venous pressure, internal jugular vein cannulation


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