A New External-landmark Technique of Right Internal Jugular Vein Cannulation.
10.4097/kjae.2003.44.5.620
- Author:
Gaab Soo KIM
1
;
Jeong Jin LEE
;
Hyun La PARK
;
Chung Soo KIM
;
Hyun Sung CHO
;
Ik Soo CHUNG
Author Information
1. Department of Anesthesiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jjlee@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Central venous catheters;
cricoid cartilage;
external jugular vein;
external landmark;
internal jugular vein
- MeSH:
Anesthesia, General;
Brachial Plexus;
Carotid Arteries;
Catheterization*;
Central Venous Catheters;
Cricoid Cartilage;
Humans;
Jugular Veins*;
Punctures
- From:Korean Journal of Anesthesiology
2003;44(5):620-625
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Central venous cannulation is one of the important parts of anesthetic management. Because general anesthesia causes external-landmarks (e.g. sternocleidomastoid muscle, carotid artery pulse) indistinct, we developed a new external landmark for internal jugular vein cannulation that can be easily detected under general anesthesia. METHODS: We cannulated the right internal jugular vein of 110 patients under general anesthesia. We used the external jugular vein and cricoid cartilage as a landmark. RESULTS: Cannulation of the right internal jugular vein was successful in 108 out of 110 patients (98.2%). Patients required an average 1.48+/-0.63 attempts. There were 2 carotid punctures (1.8%), 3 discomforts (2.7%) and no brachial plexus irritation. CONCLUSIONS: This new landmark technique has a high success rate and few complications.
