Cannulation of internal jugular vein in neutral head position.

Y. S. Lew, Siew Kiau Lim

Research output: Contribution to journalArticle

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Abstract

An approach to cannulate right internal jugular vein in neutral head position is described for situations where head rotation and extension are contraindicated. Venous puncture was made immediately lateral to the carotid artery at the level of cricoid cartilage and directed caudad. In 40 patients studied, the right internal jugular vein of 97.5% of the patients were successfully located by the finder needle. The mean (SE) number of puncture attempts to locate the vein was 1.3 (0.1) per patient. In 72.5% (29 patients), the veins were located exactly at the predicted point after the first attempt. However the overall success rate for cannulation by the angiocath cannula was 87.5% and short term complication rate was 5.0%. We conclude this technique is a reliable, safe alternative for central venous access, especially in patients where cervical spine movement is contraindicated or restricted.

Original languageEnglish
Pages (from-to)227-231
Number of pages5
JournalMedical Journal of Malaysia
Volume53
Issue number3
Publication statusPublished - Sep 1998

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Jugular Veins
Catheterization
Head
Punctures
Veins
Cricoid Cartilage
Patient Rights
Carotid Arteries
Needles
Spine

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cannulation of internal jugular vein in neutral head position. / Lew, Y. S.; Lim, Siew Kiau.

In: Medical Journal of Malaysia, Vol. 53, No. 3, 09.1998, p. 227-231.

Research output: Contribution to journalArticle

Lew, Y. S. ; Lim, Siew Kiau. / Cannulation of internal jugular vein in neutral head position. In: Medical Journal of Malaysia. 1998 ; Vol. 53, No. 3. pp. 227-231.
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