How I Do It: Preferential Use of the Right External Jugular Vein for Tunneled Catheter Placement

2008 ◽  
Vol 21 (2) ◽  
pp. 183-185 ◽  
Author(s):  
Alexander S. Yevzlin ◽  
Micah Chan ◽  
Giorgio Gimelli
Keyword(s):  
Jugular Vein ◽  
External Jugular Vein ◽  
Catheter Placement ◽  
The Right ◽  
Tunneled Catheter

scholarly journals Unusual site of formation of brachiocephalic vein along with multiple venous anomalies in neck and its clinical importance

2014 ◽  
Vol 03 (02) ◽  
pp. 093-095 ◽  
Author(s):  
Rashmoni Jana
Keyword(s):  
Jugular Vein ◽  
Anatomical Variation ◽  
Clinical Importance ◽  
External Jugular Vein ◽  
Brachiocephalic Vein ◽  
Invasive Procedures ◽  
Unusual Site ◽  
Venous Anomalies ◽  
Rare Site ◽  
The Right

AbstractNeck veins are important for various diagnostic, therapeutic and experimental procedures. So knowledge of their anatomical variation is also important. The author reports an unusual site of formation of brachiocephalic vein with multiple venous anomalies in the neck. A rare site of formation of the right brachiocephalic vein was found at the middle of neck under the right sternocleido mastoid muscle by union of right internal jugular and subclavian vein. Another observation was of facial, lingual and superior thyroid veins joined together and formed a common vein over the sternocleidomastoid muscle that drained into the external jugular vein. This unusual course of brachiocephalic vein and aberrant drainage of facial, lingual and superior thyroid veins may cause unusual bleeding during surgeries and invasive procedures. So clinicians should be aware of these variations of major neck veins to avoid complications.

Tunneled Catheter Placement in a Pediatric Patient: A Novel Approach

2017 ◽  
Vol 22 (4) ◽  
pp. 205-209 ◽  
Author(s):  
Dewansh Goel ◽  
Bhupender Yadav ◽  
Paul Lewis ◽  
Karun Sharma ◽  
Ranjith Vellody
Keyword(s):  
Pediatric Patient ◽  
Central Venous Access ◽  
Venous Access ◽  
Catheter Placement ◽  
Behavioral History ◽  
Pull Out ◽  
Novel Approach ◽  
The Right ◽  
Tunneled Catheter

Abstract Establishing venous access can be an important and often complex aspect of care for pediatric patients. When stable central venous access is required for long-term intravenous infusions, several options are available including peripherally inserted central catheters (PICC), tunneled catheters and ports. Both PICC placement and tunneled catheter placement include an exposed external segment of catheter, either in an extremity or on the chest. We present a pediatric patient with complex behavioral history who required long-term intravenous therapy. After careful review, the best option for the patient was determined to be a tunneled catheter that exited the skin in the right upper back, making it difficult to grab and pull out. The catheter was successfully placed and the patient appropriately completed his intravenous antibiotic course. Upon completion, the catheter was removed without complications. This tunneling technique to the scapular region may be useful for patients with psychiatric or neurodegenerative disorders where purposeful dislodgement may be a problem.

scholarly journals The “branching external jugular vein”: an unreported clinically significant anatomic variation

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Mohamed Sameh Shalaby
Keyword(s):  
Success Rate ◽  
Clinical Relevance ◽  
Jugular Vein ◽  
Anatomic Variation ◽  
Venous Catheter ◽  
Anatomical Variations ◽  
External Jugular Vein ◽  
Anterior Branch ◽  
The Times ◽  
The Right

Abstract Background The reported overall success rate for central venous catheter (CVC) insertion into the external jugular vein (EJV) is less than other central veins. A contributing factor for this might be the well-documented anatomical variations of the EJV. However, there are no reports correlating these anatomical variations with successful CVC insertion. Our aim was to evaluate the EJV anatomical variations and their clinical relevance. Results All CVCs inserted over the study period were prospectively recorded with emphasis on the times the EJV was accessed, operative difficulties and any anatomical variations with their influence on CVC insertion. Over 15 months, 36 CVCs were inserted, 17 (47%) into EJV. For EJV line insertions, age is 39 days–14 years, 9 into right EJV. Operative difficulty was encountered in 4 patients (24%) where the catheter was inserted into EJV but failed to thread into a satisfactory position. In all 4 patients, further dissection revealed EJV branching into a bigger anterior branch which follows the course of main EJV yet not leading to the right atrium (RA) and a smaller posterior branch leading to RA. Regarding the 4 cases of “the branching EJV”, age is 2–14 years, 3 males:1 female and 3 left:1 right EJV. The overall success rate for CVC insertion through the EJV in this study was 100% including the 4 cases with “the branching EJV”. Conclusions This is the first report describing “the branching EJV” and its clinical relevance to CVC insertion.

Improved method for cannulation of the right lymph duct in dogs

1977 ◽  
Vol 43 (5) ◽  
pp. 899-901 ◽  
Author(s):  
C. E. Vreim ◽  
K. Ohkuda
Keyword(s):  
Success Rate ◽  
Simple Technique ◽  
Jugular Vein ◽  
Skin Incision ◽  
External Jugular Vein ◽  
Lymph Flow ◽  
High Success Rate ◽  
Improved Method ◽  
Lymph Duct ◽  
The Right

We have developed a relatively simple technique for cannulating the right lymph duct in the dog. We have successfully cannulated 19 of 20 dogs and have obtained stable lymph flows for up to 6 h. We make a skin incision over the origin of the pectoralis superficialis muscle and extend it laterally and cephalically until it is parallel and lateral to the external jugular vein. Using the cephalic vein as a landmark, we identify the cervical lymphatic which lies deep to the external jugular vein. We trace the cervical lymphatic posteriorly to the lymphatic ampulla, which is located at the external jugular and axillary venous junction. The ampulla receives the cervical, axillary, and right lymph ducts. We place a ligature around the ampulla and tie it off, forming a lymphatic pouch and obstruction lymph flow into the vein. We then cannulate the cervical lymphatic and advance the catheter into the ampulla and tie it in place. All lymphatic branches draining into the ampulla, except the right lymph duct, are ligated, enabling us to collect lymph form only the right duct. The high success rate is due, we believe, to the fact that we approach the right duct high in the neck and cannulate via the cervical lymphatic. We avoid direct dissection over the right lymph duct, and usually we do not have to cannulate the right duct directly.

Catheterization of the pulmonary artery in the closed-chest rat

1981 ◽  
Vol 51 (4) ◽  
pp. 1047-1050 ◽  
Author(s):  
R. B. Stinger ◽  
V. J. Iacopino ◽  
I. Alter ◽  
T. M. Fitzpatrick ◽  
J. C. Rose ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Simple Technique ◽  
Jugular Vein ◽  
External Jugular Vein ◽  
Laboratory Animals ◽  
Small Laboratory ◽  
Pentobarbital Sodium ◽  
Umbilical Vessel ◽  
Potential Applications ◽  
The Right

A simple technique has been devised to catheterize the pulmonary artery in rats for measurement of pulmonary artery pressure. A no. 3 1/2 French umbilical vessel catheter (Argyle), angled to 90 degrees over the distal 1 cm, was introduced into the right external jugular vein of the anesthetized (50 mg/kg pentobarbital sodium, ip) rat (male Wistar, 250–350 g). With the angle directed anteriorly, the catheter was inserted 2.5 cm proximally, which placed the catheter in the right atrium. The catheter was rotated 90 degrees counterclockwise and inserted 1.0 cm further, which placed the catheter in the right ventricle. Advancement of the catheter an additional 1.5 cm allowed placement in the pulmonary artery. Placement at each stage was confirmed by the respective pressure contours. This technique is easily and rapidly performed and has many potential applications in measuring parameters of the pulmonary circulation in a variety of small laboratory animals.

Placement of a Ventriculoatrial Shunt Using External Jugular Catheterization: Technical Note

Neurosurgery ◽  
1984 ◽  
Vol 14 (1) ◽  
pp. 74-75 ◽  
Author(s):  
Tadanori Tomita
Keyword(s):  
Right Atrium ◽  
Jugular Vein ◽  
Technical Note ◽  
External Jugular Vein ◽  
Ventriculoatrial Shunt ◽  
Young Infants ◽  
Atrial Catheter ◽  
The Right

Abstract A technique for the insertion of the atrial end of a ventriculoatrial shunt is described. The technique utilizes a J-wire and an open end atrial catheter inserted through the external jugular vein into the right atrium under fluoroscopy. It is safe and effective, even in young infants.

Thermal indicator sampling and injection sites for cardiac output

1963 ◽  
Vol 18 (4) ◽  
pp. 742-745 ◽  
Author(s):  
Shakil Mohammed ◽  
Charles J. Imig ◽  
Elisha J. Greenfield ◽  
John W. Eckstein
Keyword(s):  
Cardiac Output ◽  
Right Atrium ◽  
Jugular Vein ◽  
External Jugular Vein ◽  
The Other ◽  
Dilution Method ◽  
Small Range ◽  
Thermal Indicator ◽  
The Right ◽  
Dilution Curves

The effects of indicator sampling and injection sites on estimation of cardiac output by the thermal dilution method were investigated in dogs. Dilution curves were recorded simultaneously with thermistors in the aortic arch and carotid or femoral artery after injection of indicator into the right atrium. The outputs calculated from carotid and femoral curves were higher than those from aortic curves. Nevertheless, the carotid and femoral arteries were considered satisfactory sampling sites because it was possible to predict aortic values from peripheral curves with a small range of error. The effect of indicator injection sites was studied by comparing outputs calculated from aortic curves after alternate injections into the right atrium and external jugular vein. The outputs calculated after jugular injections were higher. The external jugular vein was considered to be a less desirable injection site because the correlation between aortic values obtained after injections into the two sites was relatively low, and the predictability of one value from the other was not good. Submitted on January 14, 1963

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