scholarly journals Retrograde Catheterization of the Right Internal Jugular Vein for Serial Measurements of Cerebral Venous Oxygen Content

1989 ◽  
Vol 9 (5) ◽  
pp. 717-720 ◽  
Author(s):  
Mogens Jakobsen ◽  
Erna Enevoldsen
Keyword(s):  
Carotid Artery ◽  
Oxygen Content ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Blood ◽  
Blood Samples ◽  
Venous Oxygen Content ◽  
The Right ◽  
Serial Measurements

Serial measurements of CBF and metabolism require multiple cerebral venous blood samples. Retrograde catheterization of the right internal jugular vein is easily performed at a point 2.5–3 cm lateral to, and 2 cm above, the medial end of the right clavicula. Complications are few and minor. In 1/80 (1.25%) cases the carotid artery was punctured during cannulation. Insertion of the catheter for 16–18 cm reduces contamination with extracerebral blood to a minimum.

scholarly journals Variations in the anatomical relationship between the common carotid artery and the internal jugular vein: An ultrasonographic study

2015 ◽  
pp. 54-59 ◽  
Author(s):  
Mauricio Umaña Perea ◽  
Alberto Federico García ◽  
José Luis Castillo García ◽  
Luis Alfonso Bustamante Cristancho ◽  
Juan Sebastián Martínez Collazos
Keyword(s):  
Multivariate Analysis ◽  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Patients Âgés ◽  
Anterior Position ◽  
Anatomical Relationship ◽  
The Common ◽  
The Right

Introduction: The internal jugular vein locates anterior or anterolateral to the common carotid artery in two-thirds of the subjects studied by ultrasound when the head is in a rotated position. Aim: To identify variables associated with the anterior location of the internal jugular vein. Methods: Ultrasound examinations were performed with the patients in the supine position, with the head rotated to the opposite side. The proximal third of the neck was visualized transversely with a 7.5-mHz transducer. The relationship between the vessels was described in accordance with the proportion of the artery overlapped by the vein. Univariate comparisons and a multivariate analysis of potential variables that may affect the anatomic relationships were performed. Results: Seventy-eight patients were included, 44 of whom were men. The patients' ages ranged from 17 to 90 years (median 64.0, interquartile range 41-73). The right and left sides were studied 75 and 73 times, respectively. The vein was located lateral to the artery in 24.3% (95%CI= 17.4-32.2) of the studies, anterolateral in 33.8% (95%CI= 26.2-41.4) and anterior in 41.9% (95%CI= 33.9-49.8). The multivariate analysis identified age group (OR= 3.7, 95% CI 2.1-6.4) and, less significantly, the left side (OR= 1.7, 95%CI= 0.8-3.5) and male gender (OR= 1.2, 95%CI= 0.6-2.7) as variables associated with the anterior position of the vein. Conclusión: The anterior position of the internal jugular vein relative to the common carotid artery increases gradually with age. Additionally, left-sided localization and male sex further increased the probability of an anterior position.

scholarly journals The Influence of the Univent® Endotracheal Tube on Internal Jugular Vein Cannulation

2005 ◽  
Vol 33 (1) ◽  
pp. 82-86 ◽  
Author(s):  
W. Schummer ◽  
C. Schummer ◽  
R. Frober ◽  
J. Fuchs ◽  
M. Simon ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Endotracheal Tube ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Clinical Investigation ◽  
Lateral Displacement ◽  
Left Internal Jugular Vein ◽  
Jugular Veins ◽  
Cross Sectional ◽  
The Right

This prospective clinical investigation assessed the effect of placement of a Univent® tube on the anatomy of the internal jugular veins and the success of cannulation of the left internal jugular vein. After obtaining informed consent, 48 adult patients were enrolled. Of these, 42 patients were eligible and were divided into two groups: Univent® tube (group U, n=21) and wire enforced endotracheal tube (group C, n=21). The Univent® tube group were having a left thoracotomy. Using horizontal ultrasound scans just above the thyroid gland, the internal jugular vein was visualized and measured before and after Univent® placement. The number of needle passes necessary to cannulate the left internal jugular vein in the two groups was also compared. Univent® tubes were associated with lateral displacement of the right carotid artery and internal jugular vein on the convex side of the Univent® tube, with compression of the right internal jugular vein by the artery, resulting in a kidney-shaped cross-section of the vein. On the left (concave side of the tube), the neck was indented, the sheath of the left carotid artery was displaced medially, and the left internal jugular vein distorted to an ellipse. There was a significant increase in the lateral diameter and a decrease in the cross-sectional area of the left internal jugular vein (t-test, P<0.05). The first attempt at cannulation of the left internal jugular vein failed significantly more often in the Univent® group (13/21 vs 5/21 in group C, Chi-square 6.22, P=0.025). Cannulation of the internal jugular vein before placement of the Univent® tube, or placement with ultrasound guidance is suggested.

Episodic secretion of vasopressin in man

1982 ◽  
Vol 101 (4) ◽  
pp. 517-523 ◽  
Author(s):  
M. Hammer ◽  
H. C. Engell
Keyword(s):  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Arginine Vasopressin ◽  
Jugular Vein ◽  
Secretory Activity ◽  
Blood Samples ◽  
Accurate Picture ◽  
Baroreceptor Stimulation ◽  
Plasma Arginine ◽  
The Brain

Abstract. The plasma arginine vasopressin concentration (pAVP) was measured in blood samples obtained from an internal jugular vein of 8 patients who under-went surgery for a carotid artery stenosis. Ten blood samples were taken with 1 min interval during the operation. Arterial pAVP was measured in 10 simultaneous samples from a radial artery and the brain veno-arterial difference of pAVP was calculated. The veno-arterial difference was 0–3 pg/ml in 7 of the patients, while it increased to 35 pg/ml upon baroreceptor stimulation in one patient. A pulsatile pattern was found in the veno-arterial difference of pAVP both at low and higher peripheral pAVP levels. This appeared to reflect a discontinuous release of AVP from the neurohypophysis. The described method results in a more accurate picture of ongoing secretory activity than can be obtained by measurements of peripheral pAVP alone. The general usefulness of the method, however, is restricted by the need of a multitude of samples and the difficult approach to the internal jugular vein.

scholarly journals Ultrasound-guided anatomical evaluation and percutaneous cannulation of the right internal jugular vein in infants <4000 g

2019 ◽  
Vol 21 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Filiz Uzumcugil ◽  
Aysun Ankay Yilbas ◽  
Basak Akca
Keyword(s):  
Carotid Artery ◽  
Real Time ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Anatomical Variation ◽  
Complication Rates ◽  
Success Rates ◽  
Ultrasound Guided ◽  
Vein Access ◽  
The Right

Background: The commonly preferred right internal jugular vein was investigated in terms of its dimensions, the relationship between its dimensions and anthropometric measures, and the outcomes of its cannulation in infants. Data regarding its position with respect to the carotid artery indicated anatomical variation. Aim: The aim of this study was to share our observations pertaining to the anatomy and position of the right internal jugular vein with respect to carotid artery using ultrasound and our experience with ultrasound-guided right internal jugular vein access in neonates and small infants. Materials and methods: A total of 25 neonates and small infants (<4000 g) undergoing ultrasound-guided central venous cannulation via right internal jugular vein within a 6-month period were included. Ultrasound-guided anatomical evaluation of the vein was used to obtain the transverse and anteroposterior diameters, the depth from skin and the position with respect to the carotid artery. Real-time ultrasound-guided central cannulation success rates and complication rates were also obtained. The patients were divided into two groups with respect to their weight in order to compare both the position and the dimensions of right internal jugular vein and cannulation performance in infants weighing <2500 g and ⩾2500 g. Results: The position was lateral to the carotid artery in 84% of all infants and similar in both groups. The first-attempt success rates of cannulation were similar (70% vs 73.3%) in both groups, with an overall success rate of 88%. Conclusion: Right internal jugular vein revealed a varying position with respect to carotid artery with a higher rate of lateral position. The presence of such anatomical variation requires ultrasonographic evaluation prior to interventions and real-time guidance during interventions involving right internal jugular vein.

Internal Jugular Vein and Carotid Artery Anatomic Relation as Determined by Ultrasonography

1996 ◽  
Vol 85 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Christopher A. Troianos ◽  
Richard J. Kuwik ◽  
John R. Pasqual ◽  
Alexander J. Lim ◽  
David P. Odasso
Keyword(s):  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Ultrasound Imaging ◽  
Jugular Vein ◽  
Patient Characteristics ◽  
Sternocleidomastoid Muscle ◽  
The Other ◽  
Ultrasound Images ◽  
The Right ◽  
Imaging Plane

Background Cannulation of the internal jugular vein (IJV) is associated with a 95% success rate when external landmarks are used. Anatomic variability has been implicated as the cause for difficulty in cannulation without ultrasound. In contrast to an IJV located lateral to the carotid artery (CA), an IJV overlying the CA may result in CA puncture. The authors' purpose in this study was to examine, using ultrasound, the anatomic relation of the IJV and CA as viewed from the perspective of a cannulating needle. Methods Ultrasound imaging was used in 1,136 patients to examine the relation between the IJV and CA. A 7.5-MHz transducer was placed in the direction of a cannulating needle on the right neck at the apex of the angle formed by the division of the sternocleidomastoid muscle. A Polaroid photograph of the image was later scored by three blinded investigators according to the percentage of the CA overlaid by the IJV (0 to 4). Results Of the 1,136 Polaroid photographs of the ultrasound images, 1,009 were suitable for scoring. Fifty-four percent of all patients received a score of 4, which indicated that the IJV overlies more than 75% of the CA in an imaging plane positioned in the direction of a cannulating needle. Patients older than 60 yr were more likely to have this anatomy than patients younger than 60 yr (P &lt; 0.05). None of the other patient characteristics recorded were predictive of this anatomic relation. Conclusions In a majority of patients, the IJV is not lateral to the CA in an ultrasound imaging plane positioned in the direction of a cannulating needle. Instead, the IJV overlies the CA in 54% of patients overall, predisposing these patients to CA puncture if the cannulating needle traverses the IJV.

scholarly journals Iatrogenic asymptomatic subclavian arteriovenous fistula after percutaneous catheterizationcutaneous catheterization

2017 ◽  
Vol 3 (2) ◽  
pp. 27
Author(s):  
Sam Aruputha John ◽  
Abdullah Rajab ◽  
Ahamed Faiz Ali ◽  
Rasha Kassem ◽  
Hosam Atiya ◽  
...  
Keyword(s):  
Ct Angiography ◽  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Reverse Flow ◽  
Past History ◽  
Venous Blood ◽  
Blood Gas ◽  
Av Fistula ◽  
The Right

A 4-year-old child with chronic enteropathy underwent left percutaneous internal jugular vein Hickman catheter insertion for total parenteral nutrition (TPN) under general anaesthesia. Previously this child had undergone percutaneous Hickman line insertion on the right internal jugular vein in 2013 and the right subclavian vein in 2015. These lines had been removed before due to catheter sepsis. During the present procedure, 6.6 french Hickman line was inserted into the left internal jugular vein by percutaneous peel away technique under ultrasound guidance. Later in the ward it was noticed that Hickman line was not functioning and there was reverse flow of blood into the intravenous (IV) line. Blood gas sample taken from the line showed arterial values and the catheter was subsequently removed. Computed tomography (CT) angiography was done which reported arteriovenous (AV) fistula with pseudoaneurysm of the right subclavian vein. The child was then referred to department of cardiothoracic surgery for further management. From the above case report we can infer that patients who underwent repeated percutaneous central line insertions may develop iatrogenic AV fistula or pseudo aneurysm. These complications can be asymptomatic for years. Failure to recognize this may lead to catastrophe during reinsertion. Hence proper history taking, clinical examination for bruit, thrill over the neck veins and cardiac examination should be done preoperatively if there is past history of multiple insertions. Investigations like venous blood gas sampling, USG doppler for neck veins, echocardiography, and CT angiography should be done in these cases preoperatively.

The influence of head rotation on the anatomical relationship of the right internal jugular vein and the carotid artery

2008 ◽  
Vol 55 (5) ◽  
pp. 538 ◽  
Author(s):  
Soon Im Kim ◽  
Je Hyun Kang ◽  
Young-hee Baek ◽  
Sang Ho Kim ◽  
Si-young Ok ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Head Rotation ◽  
Anatomical Relationship ◽  
The Right ◽  
Relationship Of

Hematocrit value of blood expressed from the isolated perfused kidney

1959 ◽  
Vol 197 (3) ◽  
pp. 571-574 ◽  
Author(s):  
Donald P. Morgan
Keyword(s):  
Carotid Artery ◽  
Jugular Vein ◽  
Venous Blood ◽  
Blood Samples ◽  
Isolated Perfused Kidney ◽  
Perfused Kidney

Isolated dog kidneys were perfused with blood supplied from the carotid artery and returned to the jugular vein. The kidneys were enclosed in a rigid fluid-filled box. When the circulation was temporarily interrupted, about half the estimated total volume of intrarenal blood could be expelled by forcing fluid into the box. Hematocrits of the expressed blood were only slightly lower than hematocrits of arterial and venous blood samples taken during perfusion.

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