scholarly journals Influence of the Cuff of Laryngeal Mask Airway on the Internal Jugular Vein and the Common Carotid Artery.

1997 ◽  
Vol 17 (1) ◽  
pp. 29-33
Author(s):  
Jun-ichi NISHIYAMA ◽  
Toshiyasu SUZUKI ◽  
Mamoru TAKIGUCHI ◽  
Michio YAMAMOTO
2005 ◽  
Vol 103 (6) ◽  
pp. 1136-1141 ◽  
Author(s):  
Kazuhide Takeyama ◽  
Hiroyuki Kobayashi ◽  
Toshiyasu Suzuki

Background Puncturing of the internal jugular vein (IJV) after placement of a laryngeal mask airway (LMA) is difficult. Overlapping of the right internal jugular vein (IJV) and common carotid artery (CCA) after placement of an LMA-Classic (Laryngeal Mask Company, Henley-on-Thames, United Kingdom) was investigated using an ultrasound scanner. A study was conducted to determine the optimal puncture site in the case of puncturing the right IJV after LMA-Classic placement. Methods The subjects in this study consisted of 114 patients (60 men and 54 women) scheduled to undergo LMA-Classic placement (size 4 for men and size 3 for women). Overlapping between the IJV and CCA was investigated at three points (high, middle, and low points) on the right side of the neck after LMA-Classic placement. A test puncture was also made at the right low (supraclavicular) point after LMA-Classic placement. Results (1) The degree of overlapping of the right IJV and CCA after LMA-Classic placement was clearly greater than before LMA placement. (2) With the exception of some measurements, there were many cases in which the right IJV and CCA were completely overlapping after LMA-Classic placement. Furthermore, the CCA was not observed in the vicinity of the right IJV at the right low point. (3) There were no complications (including pneumothorax and accidental arterial puncture) during supraclavicular IJV puncture after LMA-Classic placement. Conclusion After placement of the LMA-Classic, overlapping of the IJV and CCA increased at the high and middle puncture points of the IJV; however, at the lower puncture point, the position of the vessels remained unaffected. Therefore, during IJV puncture at high or middle points, ultrasound guidance is advisable to avoid CCA puncture.


1998 ◽  
Vol 45 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Sally-Ann Colbert ◽  
Deirdre M. Ohanlon ◽  
Fidelma Flanagan ◽  
Rory Page ◽  
Denis C. Moriarty

2015 ◽  
pp. 54-59 ◽  
Author(s):  
Mauricio Umaña Perea ◽  
Alberto Federico García ◽  
José Luis Castillo García ◽  
Luis Alfonso Bustamante Cristancho ◽  
Juan Sebastián Martínez Collazos

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.


2016 ◽  
Vol 31 (suppl_1) ◽  
pp. i268-i268
Author(s):  
Srikanth Prasad ◽  
Sindhu Kaza ◽  
Aswani Srinivas ◽  
Mohit Madken ◽  
Karan Saraf ◽  
...  

2016 ◽  
Vol 26 (12) ◽  
pp. 1148-1156 ◽  
Author(s):  
Menekse Ozcelik ◽  
Cigdem Guclu ◽  
Basak Meco ◽  
Derya Oztuna ◽  
Ahmet Kucuk ◽  
...  

1999 ◽  
Vol 4 (1) ◽  
pp. 51-52
Author(s):  
J.W. Olin ◽  
S. Koon ◽  
L. Massullo ◽  
M. Martinez

2005 ◽  
Vol 11 (3) ◽  
pp. 261-268
Author(s):  
A. K. Gupta ◽  
S. Purkayastha ◽  
D. R. Varma ◽  
T. R. Kapilamoorthy ◽  
B. Thomas

We report the clinical and angiographic findings in a patient who presented with venous hypertensive encephalopathy secondary to a traumatic carotico-jugular fistula. Endovascular entrapment of the fistula by occluding the common carotid artery and internal jugular vein at the base of the skull resulted in near total improvement of the patient's neurological status.


1998 ◽  
Vol 112 (4) ◽  
pp. 387-388 ◽  
Author(s):  
Hesham M. Mehanna ◽  
Fiona B. MacGregor

AbstractA 20-year-old male presented with a small stab wound to the neck and with haemodynamic signs of significant haemorrhage, but no signs of local bleeding. On exploration, an intact vagus nerve and internal jugular vein were found, but the common carotid artery was not immediately apparent. Careful dissection confirmed a completely transected common carotid artery with the two ends contracted and retracted. A primary repair was performed and post-operatively the patient recovered completely and had no neurological deficit.


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